Organization Active NPI

Lynda D. Winter

  • Eyewear Supplier
  • Stockton, CA
National Provider Identifier
1225209109
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
D4469 Issued in CA
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

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mrs. Lynda Diane Winter, ABOCNPI 1366648354
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100930034365 CA DME Supplier - Optician 0547387375 Practice locations: Stockton, CA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Great Spectacle Optical622 Lincoln Ctr, Stockton, CA 95207-2640(209) 955-7570 Prosthetic Lenses: Conventional Eyeglasses Does not accept assignmentParticipating since Jan 1, 1993

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.