Provider Demographics
NPI:1528175551
Name:JANES, JOSEPH A (OD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:A
Last Name:JANES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18850 S. MEMORIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338
Mailing Address - Country:US
Mailing Address - Phone:281-446-7900
Mailing Address - Fax:281-446-4879
Practice Address - Street 1:15999 CITY WALK
Practice Address - Street 2:SUITE 270
Practice Address - City:SUGARLAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:713-580-2525
Practice Address - Fax:281-265-1377
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02351TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV0101684OtherDPS
TXV0101684OtherDPS
MJ0388454OtherDEA