Christen Jankowski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

WA1596TX Issued in WA

Practice address

14415 SE Mill Plain Blvd
Ste 115B
Vancouver, WA 98684

Phone

(360) 253-4405

Fax

(360) 253-2233

NPI assigned

Apr 6, 2006

Last updated

Nov 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1255393849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14415 SE MILL PLAIN BLVD",
            "address_2": "STE 115B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "360-253-4405",
            "fax_number": "360-253-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14415 SE MILL PLAIN BLVD",
            "address_2": "STE 115B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "360-253-4405",
            "fax_number": "360-253-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKOWSKI",
        "first_name": "CHRISTEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA1596TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008217",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William H Jang, M.D.
• Yewon Jang
• Janice F Hurtubise, OD, PC (HoneyBee Eye Care)
• Robert C Janisse, DDS
• Kathryn Janke
• Nicholas Jankowski, O.D.
• Shannon Soper Jankowski, O.D.
• Tyler John Jansen, PSYD
• Lisa Janssen Carlson, PHARMD, RPH
• Dawn Marie Januik, RDH

• Optometrist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.