Provider Demographics
NPI:1013116581
Name:RHODES, JANA LEIGH (OD)
Entity Type:Individual
Prefix:DR
First Name:JANA
Middle Name:LEIGH
Last Name:RHODES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JANA
Other - Middle Name:LEIGH
Other - Last Name:SOUDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:81 E GAY ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3103
Mailing Address - Country:US
Mailing Address - Phone:614-885-7997
Mailing Address - Fax:614-885-8595
Practice Address - Street 1:81 E GAY ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3103
Practice Address - Country:US
Practice Address - Phone:614-885-7997
Practice Address - Fax:614-885-8595
Is Sole Proprietor?:No
Enumeration Date:2007-07-15
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5749152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist