MEDICARE: NOVACK VISION CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1013532464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVACK VISION CARE, LLC

Provider Business Mailing Address
First Line	:	1166 W 103RD ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-4511
Country	:	US
Telephone Number	:	816-941-6886
Fax Number	:

Provider Business Practice Location Address
First Line	:	1166 W 103RD ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-4511
Country	:	US
Telephone Number	:	816-941-6886
Fax Number	:	816-941-8839

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DANIEL NOVACK
Credential	:	OD
Telephone Number	:	816-550-8019

Provider Enumeration Date	:	06/11/2020
Last Update Date	:	06/11/2020

Similar Medicare Providers

1073716304 — FOOTWORKS INC.
Practice Location Address:

1152 W 103RD ST
KANSAS CITY, MO
64114-4511

Practice Phone: 816-942-3668
Practice Fax: 816-942-9402

1619927225 — CURTIS DELON JOHNSON MD
Practice Location Address:

1300 E 104TH ST
KANSAS CITY, MO
64131-4511

Practice Phone: 816-941-6700
Practice Fax: 816-941-7909

1669272274 — BAILEY JACOBS
Practice Location Address:

1420 NW VIVION RD STE 108
KANSAS CITY, MO
64118-4511

Practice Phone: 816-366-5515
Practice Fax:

1689567307 — JACKIE NICHOLE MCCLELLAN LPC
Practice Location Address:

1420 NW VIVION RD STE 108
KANSAS CITY, MO
64118-4511

Practice Phone: 816-329-9107
Practice Fax:

1851262067 — LAURA CORNETT MA, PLPC
Practice Location Address:

1420 NW VIVION RD STE 108
KANSAS CITY, MO
64118-4511

Practice Phone: 816-366-5515
Practice Fax:

1366392573 — ABRAHIM IMAM D.O.
Practice Location Address:

2103 JENKS AVE
PANAMA CITY, FL
32405-4511

Practice Phone: 850-785-0085
Practice Fax:

Directions to “NOVACK VISION CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.