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NPI Code Detail

MEDICARE: DR JOHN J NOVAK AND ASSOCIATES INC

MEDICARE: DR JOHN J NOVAK AND ASSOCIATES INC
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
1152W00000XOptometristOH5565OH

General Provider Information

NPI Number : 1619271657
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR JOHN J NOVAK AND ASSOCIATES INC
Provider Business Mailing Address
First Line : 36840 DETROIT RD
Second Line :
City : AVON
State : OH
Zip : 44011-1570
Country : US
Telephone Number : 440-934-1144
Fax Number : 440-934-0273
Provider Business Practice Location Address
First Line : 36840 DETROIT RD
Second Line :
City : AVON
State : OH
Zip : 44011-1570
Country : US
Telephone Number : 440-934-1144
Fax Number : 440-934-0273
Authorized Official
Title or Position : OWNER
Name : DR. JOHN J NOVAK
Credential : OD
Telephone Number : 440-934-1144
Provider Enumeration Date : 01/05/2011
Last Update Date : 04/20/2011

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Directions to “DR JOHN J NOVAK AND ASSOCIATES INC ” Practice Location

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