Jeffrey P Winick, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G46812 Issued in CA

Practice address

1165 Dallas Rd
Fallbrook, CA 92028-3680

Phone

(559) 573-2845

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffrey P Winick MD a Professional Corp

  • Ophthalmology Physician
  • Suamico, WI
  • NPI 1578760443
  NPD (past) Authorized official

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1285637652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 DALLAS RD",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283680",
            "telephone_number": "559-573-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 DALLAS RD",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283680",
            "telephone_number": "559-573-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINICK",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G46812",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "50258-020",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036120884",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2008014399",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G468120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Louis Wetzel, D.C.
• Jessica Lyn White, MS
• Kenneth Wiggins
• Sharna R Williams, CNM/ NP
• Kelly Margaret Wilson, LCSW
• Gernot Hagen Winkler, DDS
• Frank Winton, M.D
• Without Limits Physical Therapy and Wellness
• Frank J Witt, DPM
• Sally Wolf, PHD, MFT

• Ophthalmology Physician in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.