Organization
DANIEL R NOVACK OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL R NOVACK OD (OWNER)
(816) 478-0900
Entity
Organization
Contact information
Practice address
19049 E VALLEY VIEW PKWY, STE G, INDEPENDENCE, MO 64055-7026
(816) 478-0900
(816) 478-4229
Mailing address
19049 E VALLEY VIEW PKWY, STE G, INDEPENDENCE, MO 64055-7026
(816) 478-0900
(816) 478-4229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
12/20/2016
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