Provider Demographics
NPI:1013017656
Name:JANKOWSKI, JAMES J (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:JANKOWSKI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 MADISON ST.
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-1638
Mailing Address - Country:US
Mailing Address - Phone:740-533-3934
Mailing Address - Fax:
Practice Address - Street 1:307 MADISON ST.
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-1638
Practice Address - Country:US
Practice Address - Phone:740-533-3934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5627152W00000X, 152WC0802X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHJA4202222Medicare PIN
OHP00403348Medicare PIN
OHV11331Medicare UPIN