Doctor Name: | DR. DONALD JAMES JANIUK |
NPI Number: | 1043312200 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D., FCOVD |
License Number: | 5407T |
Business Practice Address: | 12845 Poway Rd Suite 209 Poway, CA - 920644529 |
Business Phone Number: | 8587486210 |
Business Fax Number: | 8587486224 |
Mailing Address: | Po Box 766, POWAY |
State: | CA |
Postal Code: | 920740766 |
Phone Number: | 8587486210 |
Fax Number: | 8587486224 |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 5407T |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |