Active NPI
Donna Michele Jaszkowski, O.D.
- Optometrist
- Houston, TX
National Provider Identifier
1629060124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2925T
- Practice address
- 6706 Marinette Dr
Houston, TX 77036-4918 - Phone
- (713) 777-5367
- Fax
- (713) 777-0247
- NPI assigned
- Aug 19, 2005
- Reactivated
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2925T | TX | Primary |
| Optometrist | 152W00000X | OPT7432 | CA |
Addresses
Primary practice location
6706 Marinette Dr
Houston, TX 77036-4918
Mailing address
6706 Marinette Dr
Houston, TX 77036-4918
Phone (713) 777-5367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019466401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100211000074 | TX | Practitioner - Optometry | 9931242039 | Practice locations: Houston, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT7432 | CA | MD | Optometrist |
| 2925T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1629060124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6706 MARINETTE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770364918",
"telephone_number": "713-777-5367",
"fax_number": "713-777-0247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6706 MARINETTE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770364918",
"telephone_number": "713-777-5367",
"fax_number": "713-777-0247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASZKOWSKI",
"first_name": "DONNA",
"middle_name": "MICHELE",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-19",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"deactivation_date": "2006-03-25",
"reactivation_date": "2006-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2925T",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT7432",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019466401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.