Active NPI
Lynda D. Winter
- Eyewear Supplier
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- D4469
- Legal business name
- LYNDA D. WINTER
- Practice address
- 622 Lincoln Ctr
Stockton, CA 95207-2640 - Phone
- (209) 955-7570
- Fax
- (209) 955-7580
- NPI assigned
- Mar 18, 2008
- 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
- Mrs. Lynda Diane Winter, ABOC
- Title
- Owner/ Optician
- Phone
- (209) 955-7570
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | D4469 | CA | Primary |
Addresses
Primary practice location
622 Lincoln Ctr
Stockton, CA 95207-2640
Mailing address
622 Lincoln Ctr
Stockton, CA 95207-2640
Phone (209) 955-7570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930034365 | CA | DME Supplier - Optician | 0547387375 | Practice locations: Stockton, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Great Spectacle Optical | Prosthetic Lenses: Conventional Eyeglasses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
622 Lincoln Ctr
Stockton, CA 95207
Phone (209) 955-7570
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optician
- Stockton, CA
- NPI 1366648354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216080000000",
"number": "1225209109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 LINCOLN CTR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952072640",
"telephone_number": "209-955-7570",
"fax_number": "209-955-7580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 LINCOLN CTR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952072640",
"telephone_number": "209-955-7570",
"fax_number": "209-955-7580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNDA D. WINTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-18",
"last_updated": "2008-07-15",
"status": "A",
"authorized_official_last_name": "WINTER",
"authorized_official_first_name": "LYNDA",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "OWNER/ OPTICIAN",
"authorized_official_telephone_number": "209-955-7570",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ABOC"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "CA",
"license": "D4469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.