Provider Demographics
NPI:1164626115
Name:NOVARIO, JOSEPH FRANK (LICENSED OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:FRANK
Last Name:NOVARIO
Suffix:
Gender:M
Credentials:LICENSED OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3970 WARRENSVILLE CENTER RD
Mailing Address - Street 2:CASE OPTICAL CO.
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6770
Mailing Address - Country:US
Mailing Address - Phone:216-751-9800
Mailing Address - Fax:216-491-9229
Practice Address - Street 1:3970 WARRENSVILLE CENTER RD
Practice Address - Street 2:CASE OPTICAL CO.
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-6770
Practice Address - Country:US
Practice Address - Phone:216-751-9800
Practice Address - Fax:216-491-9229
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH1438-S156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0662460001Medicare ID - Type UnspecifiedMEDICARE ID