Active NPI
Janson A Mancheski, OD
- Optometrist
- Shawano, WI
National Provider Identifier
1780768333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- WI1750
- Practice address
- 1244 E Green Bay St
Janson Mancheski OD
Shawano, WI 54166-2208 - Phone
- (715) 526-2376
- Fax
- (715) 526-9561
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | WI1750 | WI | Primary |
| Optometrist | 152W00000X | 1750 | WI |
Addresses
Primary practice location
1244 E Green Bay St
Janson Mancheski OD
Shawano, WI 54166-2208
Mailing address
1244 E Green Bay St
Janson Mancheski OD
Shawano, WI 54166-2208
Phone (715) 526-2376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WI1750 | WI | MD | Optometrist |
| 1750 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1780768333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1244 E GREEN BAY ST",
"address_2": "JANSON MANCHESKI OD",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541662208",
"telephone_number": "715-526-2376",
"fax_number": "715-526-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1244 E GREEN BAY ST",
"address_2": "JANSON MANCHESKI OD",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541662208",
"telephone_number": "715-526-2376",
"fax_number": "715-526-9561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCHESKI",
"first_name": "JANSON",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "WI1750",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "1750",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawano, WI
- Vince D Long, SAC
- May Kaying Lor
- Adrienne Luebke, PHARMD
- Kelly Ann Maas, MSE, LPC, SAS
- Kelly M Mackowski, APNP
- Manor Care of Shawano Wi LLC (ManorCare Health Services - Shawano)
- Paul S Mantz, DDS
- Maple Lane Health & Rehabilitation Center LLC (D/B/a Atrium Post Acute Care of Shawano at Maple Lane)
- Katie Marie Marquardt
- Tamara C Martens, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.