Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 006055 | NY |
N | 152W00000X | Optometrist | 02213 | IA |
N | 152W00000X | Optometrist | 1142 | SC |
N | 152W00000X | Optometrist | 1194 | NE |
N | 152W00000X | Optometrist | 18003267A | IN |
N | 152W00000X | Optometrist | 2005001747 | MO |
N | 152W00000X | Optometrist | 2359 | CO |
N | 152W00000X | Optometrist | 2793 | MN |
N | 152W00000X | Optometrist | 2967035 | WI |
N | 152W00000X | Optometrist | 4901004174 | MI |
N | 152W00000X | Optometrist | ODP1047 | ID |
N | 152W00000X | Optometrist | OE008140P | PA |
Y | 152W00000X | Optometrist | OP717 | DC |
N | 152W00000X | Optometrist | R138 | AL |
N | 152W00000X | Optometrist | TA1200 | MD |
NPI | 1003905639 |
---|---|
Provider Name | Dr. John E Bankowski |
First Address | Washington, DC 20002-5833 |
Second Address | Washington, DC 20036-4101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U99053 | (02) | DC |
U99053 | (02) | MD |