Janecek, Jacob Thomas
Janecek, Jacob Thomas is an individual health care provider with primary practice located at 1865 Nw 169Th Pl , Beaverton OR 97006-7310. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Janecek, Jacob Thomas can be contacted via phone (503) 533-8441.Contact Information
Primary practice address
1865 Nw 169Th Pl
Beaverton OR 97006-7310
Phone: (503) 533-8441
Fax: (503) 533-8403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2877AT | Oregon |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2877AT | Oregon |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2877AT | Oregon |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 2877AT | Oregon |
Profile Details
| NPI number | 1992741441 |
|---|---|
| LBN Legal business name | Janecek, Jacob Thomas |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992741441 | NPPES |
| Oregon | MEDICAID | 181435 |
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