Organization Active NPI

James E Winnick OD Professional Corporation

Doing business as Family Vision Care

  • Optometrist
  • Oakdale, CA
National Provider Identifier
1326691437
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JAMES E WINNICK OD PROFESSIONAL CORPORATION
Doing business as
Family Vision Care
Practice address
141 California Ave
Oakdale, CA 95361-2946
Phone
(209) 847-3051
Fax
(209) 847-1405
NPI assigned
Jul 17, 2019
Last updated
Sep 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Yvonne Urquidez
Title
Office Manager
Phone
(209) 847-3051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

141 California Ave
Oakdale, CA 95361-2946

Mailing address

141 California Ave
Oakdale, CA 95361-2946
Phone (209) 847-3051

Other identifiers 1

IdentifierTypeStateIssuer
SD0120160MedicaidCA

Other names 1

  • FAMILY VISION CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191107001597 CA Part B Supplier - Clinic/Group Practice 5496187742 Receives reassigned benefits from 2 practitioners
Practice locations: Oakdale, CA

National Provider Directory

National Provider Directory

Locations

141 California Ave
Oakdale, CA 95361
Phone (209) 847-3051

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1326691437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CALIFORNIA AVE",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953612946",
            "telephone_number": "209-847-3051",
            "fax_number": "209-847-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CALIFORNIA AVE",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953612946",
            "telephone_number": "209-847-3051",
            "fax_number": "209-847-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E WINNICK OD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "URQUIDEZ",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-847-3051"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0120160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY VISION CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY VISION CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.