Organization Name: | LYNDA D. WINTER |
NPI Number: | 1225209109 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNDA DIANE WINTER (OWNER/ OPTICIAN) |
Mailing Address: | 622 Lincoln Ctr Stockton |
State: | CA US |
Postal Code: | 952072640 |
Phone Number: | 2099557570 |
Fax Number: | 2099557580 |
NPI Enumeration Date: | 03/18/2008 |
NPI Last Update Date: | 07/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | D4469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |