Provider Demographics
NPI:1346385168
Name:OGAWA, JANE S (OD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:S
Last Name:OGAWA
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:123 GLEN HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-4044
Mailing Address - Country:US
Mailing Address - Phone:919-593-0905
Mailing Address - Fax:919-967-9804
Practice Address - Street 1:4037 DURHAM CHAPEL HILL BLVD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2516
Practice Address - Country:US
Practice Address - Phone:919-593-0905
Practice Address - Fax:919-765-0013
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NCNC1870152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist