Organization
DONALD J. JANIUK O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD JAMES JANIUK O.D. (OWNER)
(858) 748-6210
Entity
Organization
Contact information
Practice address
12845 POWAY RD, STE 209, POWAY, CA 92064-4527
(858) 748-6210
(858) 748-6224
Mailing address
PO BOX 766, POWAY, CA 92074-0766
(858) 748-6210
(858) 748-6224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5407TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD003120
—
CA
Enumeration date
03/13/2012
Last updated
03/13/2012
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