MARK M NOVOTNY (NPI# 1063574176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063574176 |
| Entity Type | Individual |
| Full Name | MARK M NOVOTNY |
| Credential | O.D. |
| Practice Address |
535 Jesse Jewell Pkwy Se Suite C Gainesville GA 30501-3772 |
| Practice Telephone | 7705341711 |
| Mailing Telephone | 7705341711 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT001945 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00922501A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154774396 | Mark Novotny | Home Health | 495 Uinta Way, Suite 140, Denver, CO 80230-7110 | 2016-07-22 |
| 1427072479 | Mark Novotny | Internal Medicine | 30 Locust Street, Northampton, MA 01061 | 2006-07-26 |
| Street Address |
535 JESSE JEWELL PKWY SE SUITE C |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699719864 | Cory Duncan | Emergency Medicine | 535 Jesse Jewell Pkwy Se, Suite A, Gainesville, GA 30501-3772 | 2006-06-16 |
| 1487882429 | Vivek Nautiyal | Internal Medicine | 535 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501-3772 | 2009-06-29 |
| 1669622866 | Theresa M Panter | Nurse Practitioner | 535 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3772 | 2008-09-24 |
| 1871707448 | Joshua David Lovelock | Internal Medicine | 535 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501 | 2007-05-10 |
| 1073640264 | North Georgia Opticians, Inc | Durable Medical Equipment & Medical Supplies | 535 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501-3772 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467063057 | West Point Optical Group | Optometrist | 6419 W Newberry Rd Ste B3, Gainesville, FL 32605-6803 | 2020-08-17 |
| 1922622356 | Carl Ritch | Optometrist | 6667 W Newberry Rd, Gainesville, FL 32605-4310 | 2020-06-01 |
| 1821622853 | Catherine Dees | Optometrist | 4950 Nw 44th Ln Apt 105, Gainesville, FL 32606-7609 | 2020-02-28 |
| 1417418815 | National Vision Inc | Optometrist | 3581 Sw Archer Rd Ste 20, Gainesville, FL 32608-2428 | 2019-03-28 |
| 1124519988 | Florida Eye Lab LLC | Optometrist | 3321 Sw Archer Rd, Gainesville, FL 32608-1745 | 2018-05-28 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1376072280 | Candace Brown Suggs | Optometrist | 817 Nw 56th Ter Ste B, Gainesville, FL 32605-6401 | 2017-06-06 |
| 1457801854 | Peter T Pham Od, Pllc | Optometrist | 14044 Promenade Commons Street, Gainesville, VA 20155-4072 | 2016-10-10 |
| 1619324308 | Marc Robinson | Optometrist | 2677 Sw 87th Dr, Gainesville, FL 32608 | 2016-05-23 |
| 1649553009 | Truc Minh Pham | Optometrist | 890 Dawsonville Hwy Ste A, Gainesville, GA 30501-2608 | 2011-09-22 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.