Individual
DALE CARL NOVAK I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4314 MILAN RD, SEARS OPTICAL, SANDUSKY, OH 44870-5897
(419) 626-6415
Mailing address
4314 MILAN RD, SEARS OPTICAL, SANDUSKY, OH 44870-5897
(419) 626-6415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3485
OH
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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