Stephan Carl Jankowski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002858 Issued in MI

Practice address

93 S Morse St
Sandusky, MI 48471-0208

Phone

(810) 648-2456

Fax

(810) 648-5279

NPI assigned

Dec 28, 2005

Last updated

Jan 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephan Jankowski, O.D.

  • Durable Medical Equipment & Medical Supplies
  • Sandusky, MI
  • NPI 1730350695
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1205813524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484710208",
            "telephone_number": "810-648-2456",
            "fax_number": "810-648-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 S MORSE ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484710208",
            "telephone_number": "810-648-2456",
            "fax_number": "810-648-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKOWSKI",
        "first_name": "STEPHAN",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Hurst
• Michael Wayne Hutchens, MA, LLMSW
• Jadyn Iseler
• Deanne Jacklett
• Kaitlin Jackson
• John Arthur Jarmolowicz, LMSW
• Lazaro Esguerra Javier, M.D. P.C.
• Jennifer Jefferson
• Tomas Jelinek, PT
• Jerry Jensen

• Optometrist in Sandusky, MI
• Providers in Sandusky, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.