Organization Active NPI

Wink Optometry PLLC

  • Optometrist
  • Cypress, TX
National Provider Identifier
1114507944
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WINK OPTOMETRY PLLC
Doing business as
Wink Family EyeCare
Practice address
14119 Grant Rd Ste 200
Cypress, TX 77429-1396
Phone
(949) 933-8279
NPI assigned
Apr 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Dr. Joanne Kim, ODNPI 1700238060
Title
Owner/Optometrist
Phone
(949) 933-8279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

14119 Grant Rd Ste 200
Cypress, TX 77429-1396

Mailing address

14706 Windy Hillside TRL
Cypress, TX 77429-7475

Other names 1

  • Wink Family EyeCare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drkim@winkfamilyeyes.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210521001512 TX Part B Supplier - Clinic/Group Practice 9133528235 Receives reassigned benefits from 2 practitioners
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory

Locations

14119 Grant Rd
Ste 200
Cypress, TX 77429
Phone (832) 943-3134

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1114507944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14706 WINDY HILLSIDE TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14119 GRANT RD STE 200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291396",
            "telephone_number": "949-933-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINK OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "949-933-8279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drkim@winkfamilyeyes.com",
            "affiliation": "N",
            "address_1": "14119 Grant Rd Ste 200",
            "city": "Cypress",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774291396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wink Family EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.