Individual
DR. PATRICK ALLAN JANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
50 MCNAUGHTEN RD, STE 200, COLUMBUS, OH 43213-2120
(614) 863-3937
(614) 863-5010
Mailing address
PO BOX 267119, COLUMBUS, OH 43226-7119
(614) 864-0641
(614) 864-2904
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4651
OH
152W00000X
Optometrist
T1426
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000036349
ANTHEM
OH
05
—
2337626
—
OH
Enumeration date
02/08/2006
Last updated
01/05/2009
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