Individual provider Active NPI

Maria Fernanda Winters, ABOC/NCLE

  • Optician
  • Grand Rapids, MI
National Provider Identifier
1205497443
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
231108 Issued in MI
Practice address
2425 Alpine Ave NW Ste B
Grand Rapids, MI 49544-1956
Phone
(616) 432-3591
Fax
(616) 432-3597
NPI assigned
Jun 27, 2019
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 231108 MI Primary

Addresses

Primary practice location

2425 Alpine Ave NW Ste B
Grand Rapids, MI 49544-1956

Mailing address

2425 Alpine Ave NW Ste B
Grand Rapids, MI 49544-1956
Phone (616) 432-3591

Other practice location 1

5500 Clyde Park Ave SW
Wyoming, MI 49509-9525
Phone (616) 591-2261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
231108MIMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1205497443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 ALPINE AVE NW STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441956",
            "telephone_number": "616-432-3591",
            "fax_number": "616-432-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 ALPINE AVE NW STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441956",
            "telephone_number": "616-432-3591",
            "fax_number": "616-432-3597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Clyde Park Ave SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495099525",
            "country_code": "US",
            "telephone_number": "616-591-2261",
            "fax_number": "616-432-3597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "MARIA",
        "middle_name": "FERNANDA",
        "credential": "ABOC/NCLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MI",
            "license": "231108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.