Active NPI
E Wingo & P Colchiski PTR
- Eyewear Supplier
- Ocala, FL
National Provider Identifier
1043616527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1160000001 | Other | FL | MEDICARE PTAN |
National Provider Directory
National Provider Directory- Tax ID family
- E Wingo P Colchiski PTR
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Ocala, FL
- NPI 1629128475
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.