Donald J. Janiuk O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5407TLG Issued in CA

Legal business name

DONALD J. JANIUK O.D.

Practice address

12845 Poway Rd
Ste 209
Poway, CA 92064-4527

Phone

(858) 748-6210

Fax

(858) 748-6224

NPI assigned

Mar 13, 2012

Last updated

Mar 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald James Janiuk, O.D.

Title

Owner

Phone

(858) 748-6210

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Randall Earl Conrad, O.D.

  • Corneal and Contact Management Optometrist
  • Poway, CA
  • NPI 1962617464
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1881969582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 766",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920740766",
            "telephone_number": "858-748-6210",
            "fax_number": "858-748-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12845 POWAY RD",
            "address_2": "STE 209",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644527",
            "telephone_number": "858-748-6210",
            "fax_number": "858-748-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J. JANIUK O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "JANIUK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-748-6210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5407TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD003120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Poway, CA
• Providers in Poway, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.