NPIMap

Organization Active NPI

Timothy C. Jankowski, OD, Inc

Doing business as Pacific Eyecare Professionals Doctors of Optometry

  • Optometrist
  • Huntington Beach, CA
National Provider Identifier
1689886053
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3204 Issued in CA
Legal business name
TIMOTHY C. JANKOWSKI, OD, INC
Doing business as
Pacific Eyecare Professionals Doctors of Optometry
Practice address
16450 Bolsa Chica St
Huntington Beach, CA 92649-2603
Phone
(714) 840-1366
Fax
(714) 846-9415
NPI assigned
May 5, 2007
Last updated
May 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Dr. Timothy Charles Jankowski, ODNPI 1912912718
Title
Ceo
Phone
(714) 840-1366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3204 CA Primary

Addresses

Primary practice location

16450 Bolsa Chica St
Huntington Beach, CA 92649-2603

Mailing address

16450 Bolsa Chica St
Huntington Beach, CA 92649-2603
Phone (714) 840-1366

Other names 1

  • Pacific Eyecare Professionals Doctors of Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

16450 Bolsa Chica St
Huntington Beach, CA 92649
Phone (714) 840-1366

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1689886053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16450 BOLSA CHICA ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492603",
            "telephone_number": "714-840-1366",
            "fax_number": "714-846-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16450 BOLSA CHICA ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492603",
            "telephone_number": "714-840-1366",
            "fax_number": "714-846-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY C. JANKOWSKI, OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "JANKOWSKI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-840-1366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "3204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Eyecare Professionals Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.