JAN JANNEN (NPI# 1487054169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487054169 |
| Entity Type | Individual |
| Full Name | JAN JANNEN |
| Credential | D.O. |
| Practice Address |
4952 Elgin Cir Syracuse NY 13215-2261 |
| Practice Telephone | 3154921774 |
| Mailing Telephone | 3154921774 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002411 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK STATE LICENCE | 002411 | 01 |
| Street Address |
4952 ELGIN CIR |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13215-2261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073803565 | Steven P Jannen | Technician/Technologist | 4952 Elgin Cir, Syracuse, NY 13215-2261 | 2011-04-18 |
| 1225394182 | Jannens Optical | Eyewear Supplier (Equipment, not the service) | 4952 Elgin Cir, Syracuse, NY 13215-2261 | 2012-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367785 | Jeffrey Alan Gaulrapp | Registered Nurse | Upstate University Hospital Community General Campus, 4900 Broad Road, Syracuse, NY 13215 | 2020-05-08 |
| 1134752454 | Crystal Elizabeth Hoban | Marriage & Family Therapist | 4922 W. Seneca Turnpike, Syracuse, NY 13215 | 2020-02-14 |
| 1083004907 | Roger G Levine Md | Psychiatric Residential Treatment Facility | 4914 West Seneca Turnpkie, Syracuse, NY 13215 | 2015-01-30 |
| 1558771071 | Edleanna Robinson | Licensed Practical Nurse | 5075 W Seneca Turnpike, Syracuse, NY 13215 | 2014-05-06 |
| 1689013450 | Rhonda Lee Philopena | Emergency Medicine | 4900 Broad Rd 1st Fl, Syracuse, NY 13215 | 2013-06-14 |
| 1962778498 | Marie Anne Stevens | Licensed Practical Nurse | 4057 Seneca Tpk, Van Duyn Home and Hospital, Syracuse, NY 13215 | 2012-03-29 |
| 1033439088 | Anna-marie Simpson | Chiropractor | 4922 W Seneca Tpke, Syracuse, NY 13215 | 2010-06-01 |
| 1992028690 | A John Wylie | Pharmacist | 4840 Sherwood Dr., Syracuse, NY 13215 | 2010-03-09 |
| 1669616512 | Asalim A Thabet | Emergency Medicine | 4900 Braod Rd, 1st Fl, Syracuse, NY 13215 | 2009-04-22 |
| 1992948707 | Jesse Reed Gutnick | Surgery | 4900 Borad Rd, Suite 23 North, Syracuse, NY 13215 | 2009-04-08 |
| Find all providers in zip 13215 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003478520 | Kalindi Patel | Optometrist | 9537 Destiny Usa Dr # 723, Syracuse, NY 13204-9501 | 2019-07-04 |
| 1073007670 | Bryan D. O'neil | Optometrist | 4109 W Genesee St Ste 100, Syracuse, NY 13219 | 2018-06-18 |
| 1114418480 | Joseph H Johnson | Optometrist | 2831 W 1150 S, Syracuse, UT 84075-5114 | 2018-05-22 |
| 1053723262 | Ross Jex Chatwin | Optometrist | 1792 W 1700 S Ste 202, Syracuse, UT 84075-9651 | 2014-05-21 |
| 1114218393 | Safi Optometrist PC | Optometrist | 333 W Washington St, Suite 110, Syracuse, NY 13202-6103 | 2011-04-22 |
| 1033413505 | Xavier Optical, Inc. | Optometrist | 218 Harrison St, Syracuse, NY 13202-3041 | 2010-12-27 |
| 1053582247 | Mid-plains Eyecare Center PC | Optometrist | 135 9th St, Syracuse, NE 68446-9740 | 2008-03-17 |
| 1730258575 | Joseph Ditota | Optometrist | 2901 Court St, Syracuse, NY 13208-3217 | 2006-11-07 |
| 1366523003 | Neal Marshall | Optometrist | 4473 E Genesee St, Syracuse, NY 13214-2242 | 2006-10-18 |
| 1548350358 | Frank Edmund Visco Jr. | Optometrist | 1304 Buckley Rd Ste 301, Syracuse, NY 13212-4318 | 2006-10-13 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.