NPIMap

Organization Active NPI

Jabeka Inc.

Doing business as Franz Optical

  • Optometrist
  • Eugene, OR
National Provider Identifier
1881667160
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1856T Issued in OR
Legal business name
JABEKA INC.
Doing business as
Franz Optical
Practice address
65 Division Ave
Suite E
Eugene, OR 97404-2485
Phone
(541) 689-1115
Fax
(541) 688-5585
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Dr. Michael Lackman, O.D.
Title
Owner
Phone
(541) 689-1115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1856T OR Primary

Addresses

Primary practice location

65 Division Ave
Suite E
Eugene, OR 97404-2485

Mailing address

65 Division Ave
Suite E
Eugene, OR 97404-2485
Phone (541) 689-1115

Other identifiers 6

IdentifierTypeStateIssuer
3021OtherORNORTHWEST BENEFIT NETWORK
DO9351OtherORRAILROAD MEDICARE PTAN
083019MedicaidOR
02501-01OtherORPACIFIC SOURCE
049169002OtherORBLUE CROSS
111228OtherOREYEMED

Other names 1

  • Franz Optical Doing business as

National Provider Directory

National Provider Directory

Locations

65 Division Ave
Ste E
Eugene, OR 97404
Phone (541) 689-1115

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1881667160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DIVISION AVE",
            "address_2": "SUITE E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042485",
            "telephone_number": "541-689-1115",
            "fax_number": "541-688-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DIVISION AVE",
            "address_2": "SUITE E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042485",
            "telephone_number": "541-689-1115",
            "fax_number": "541-688-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABEKA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "LACKMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-689-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1856T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWEST BENEFIT NETWORK",
            "identifier": "3021",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DO9351",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083019",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "02501-01",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "049169002",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "111228",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franz Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.