Provider Demographics
NPI:1700860467
Name:CUSHING, JANET (OD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:CUSHING
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 BEAR CLAW WAY
Mailing Address - Street 2:APT. 305
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-2786
Mailing Address - Country:US
Mailing Address - Phone:608-217-7711
Mailing Address - Fax:
Practice Address - Street 1:7102 MINERAL POINT RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-1706
Practice Address - Country:US
Practice Address - Phone:608-828-7602
Practice Address - Fax:608-828-7702
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2998152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist