Organization Active NPI

E Wingo & P Colchiski PTR

  • Eyewear Supplier
  • Ocala, FL
National Provider Identifier
1043616527
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
E WINGO & P COLCHISKI PTR
Practice address
2441 E Fort King St BLDG 100
Ocala, FL 34471-2558
Phone
(352) 629-2422
Fax
(352) 732-0177
NPI assigned
Nov 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Linder Earl Wingo, MD
Title
Part-Owner
Phone
(352) 629-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2441 E Fort King St BLDG 100
Ocala, FL 34471-2558

Mailing address

2441 E Fort King St BLDG 100
Ocala, FL 34471-2558
Phone (352) 629-2422

Other identifiers 1

IdentifierTypeStateIssuer
1160000001OtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
E Wingo P Colchiski PTR2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2441 E Fort King St
Ste 100
Ocala, FL 34471
Phone (352) 629-2422

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1043616527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 E FORT KING ST BLDG 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712558",
            "telephone_number": "352-629-2422",
            "fax_number": "352-732-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 E FORT KING ST BLDG 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712558",
            "telephone_number": "352-629-2422",
            "fax_number": "352-732-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E WINGO & P COLCHISKI PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "WINGO",
        "authorized_official_first_name": "LINDER",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PART-OWNER",
        "authorized_official_telephone_number": "352-629-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "1160000001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.