Wink Optometry & Eyewear, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

11596T Issued in CA

Legal business name

WINK OPTOMETRY & EYEWEAR, INC

Practice address

2673 Via de la Valle
Suite E F
Del Mar, CA 92014-1912

Phone

(858) 755-9465

Fax

(858) 755-9468

NPI assigned

Mar 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Puneh Baha, OD

Title

Owner/President

Phone

(858) 755-9465

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1225304967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 VIA DE LA VALLE",
            "address_2": "SUITE E F",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141912",
            "telephone_number": "858-755-9465",
            "fax_number": "858-755-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2673 VIA DE LA VALLE",
            "address_2": "SUITE E F",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141912",
            "telephone_number": "858-755-9465",
            "fax_number": "858-755-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINK OPTOMETRY & EYEWEAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "BAHA",
        "authorized_official_first_name": "PUNEH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "858-755-9465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "11596T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Hambleton Whitley, DPT
• Tracy Whynot, L.AC
• William E. Lerner Chiropractic, Inc.
• Joan W Winchell, MFT
• Winfield Dental Group, LLC
• Wink Optometry del Mar Inc
• Christy Wise, PSY.D.
• Nicole Dizon Witkin, PSY.D
• Alan Craig Wittgrove, M.D.
• Hayley Joy Woldseth, MS, CNS

• Exclusive Provider Organization in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.