Jonathan M Janzen (NPI# 1275056574, PAC ID# 8628342037) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1275056574 |
| PAC ID by PECOS | 8628342037 |
| Professional Enrollment ID | I20170925001110 |
| Full Name | Jonathan M Janzen |
| Organization Legal Name | NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY |
| Address |
1001 N Grand Ave Tahlequah OK 74464-7017 |
| Phone Number | 9184444034 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0941112528 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370171 | CHEROKEE NATION W W HASTINGS INDIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1001 S 41st St E, Three Rivers Health Center, Muskogee, OK 74403-6253 | 9186870201 | CHEROKEE NATION |
| 1020 Lenape Dr, Nowata, OK 74048-4403 | 9182730192 | CHEROKEE NATION |
| 1001 N Grand Ave, Tahlequah, OK 74464-7017 | 9184444034 | NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY |
| Organization Legal Name | NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latricia D Pack | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Jenna M Lighthizer | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Earlena F Mckee | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| James H Hsiau | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Matthew D Krein | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Alan G Mckee | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Jari Jill Frazier | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Nathan R Lighthizer | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Charles Neal Whittle | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Spencer D Johnson | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Street Address |
1001 N GRAND AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip | 74464-7017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latricia D Pack | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Jenna M Lighthizer | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Earlena F Mckee | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| James H Hsiau | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Matthew D Krein | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Alan G Mckee | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Jari Jill Frazier | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Nathan R Lighthizer | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Charles Neal Whittle | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Spencer D Johnson | Optometry | Northeastern State University College of Optometry | 1001 N Grand Ave, Tahlequah, OK 74464-7017 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christi D Anderson | Physician Assistant | Cherokee Nation | 19600 E Ross St, Cn Outpatient Health Center, Tahlequah, OK 74464-0545 |
| James Mark Seratt | Family Medicine | 22408 Hwy 51, Tahlequah, OK 74464-2058 | |
| Megan Jean Chee | Optometry | Cherokee Nation | 16944 W Cherokee, Gadugi Health Center, Tahlequah, OK 74464-2512 |
| Barinder P Bassi | Podiatry | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Charles Wayne Bingham | Family Medicine | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Carolyn E Majcher | Optometry | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Cathy J Fielder | Physician Assistant | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Gregory S Brooks | Family Medicine | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Sylvia Soto | Family Medicine | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Deborah Mcalister | Orthopedic Surgery | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Find all physicians in zip 74464 | |||
| City | TAHLEQUAH |
| Zip Code | 74464 |
| Specialty | OPTOMETRY |
| City + Specialty | TAHLEQUAH + OPTOMETRY |
Please comment or provide details below to improve the information on Jonathan M Janzen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.