Active NPI
Janet S White
- Optometrist
- Waupun, WI
National Provider Identifier
1326143157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- JANET S WHITE
- Practice address
- 223 E Main St
Waupun, WI 53963-0163 - Phone
- (920) 324-8608
- Fax
- (920) 324-8699
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Janet Susan White
- Title
- Owner
- Phone
- (920) 324-8608
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Optometric Technician | 156FX1202X |
Addresses
Primary practice location
223 E Main St
Waupun, WI 53963-0163
Mailing address
PO Box 163
Waupun, WI 53963-0163
Phone (920) 324-8608
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38709800 | Medicaid | WI | |
| 410047488 | Other | WI | RR MEDICARE |
Other names 1
- Jans Optical
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Optometrist
- Baraboo, WI
- NPI 1164517074
-
- Optometrist
- Beaver Dam, WI
- NPI 1861535809
-
- Optometrist
- Lakewood, CO
- NPI 1376718429
-
- Optometrist
- Rockford, IL
- NPI 1508857202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216166400000",
"number": "1326143157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 163",
"city": "WAUPUN",
"state": "WI",
"postal_code": "539630163",
"telephone_number": "920-324-8608",
"fax_number": "920-324-8699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 E MAIN ST",
"city": "WAUPUN",
"state": "WI",
"postal_code": "539630163",
"telephone_number": "920-324-8608",
"fax_number": "920-324-8699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANET S WHITE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2008-07-16",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "SUSAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-324-8608",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "156FX1202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optometric Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38709800",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "410047488",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jans Optical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waupun, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.