Individual provider Active NPI

Laura W Winkel, O.D.

  • Optometrist
  • Kennewick, WA
National Provider Identifier
1710025507
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00001873TX Issued in WA
Practice address
3221 W Kennewick Ave
Kennewick, WA 99336-2919
Phone
(509) 783-3986
Fax
(509) 736-3918
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00001873TX WA Primary
Corneal and Contact Management Optometrist 152WC0802X OD00001873TX WA
Sports Vision Optometrist 152WS0006X OD00001873TX WA
Occupational Vision Optometrist 152WX0102X OD00001873TX WA

Addresses

Primary practice location

3221 W Kennewick Ave
Kennewick, WA 99336-2919

Mailing address

3221 W Kennewick Ave
Kennewick, WA 99336-2919
Phone (509) 783-3986

Other identifiers 2

IdentifierTypeStateIssuer
1017014MedicaidWA
912017947OtherWAFEDERAL TAX ID

Other names 1

  • Dr. Laura Ann Wynecoop Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050922000142 WA Practitioner - Optometry 5698709384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kendal Rae Piatt OD PCGroup PAC ID 9638148539, 3 clinicians

Practice addresses (Care Compare)

6115 Burden Blvd
Suite D
Pasco, WA 99301-8930
Phone (509) 736-0710

Merit-based Incentive Payment System (MIPS)

Final score
77.7 of 100Reported as group
Quality
55.41
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD00001873TXWAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kendal Rae Piatt, OD, PC Corneal and Contact Management CurrentSince Oct 7, 2014 Accepting new patients
Edith Bishel Center for the Blind and Visually Impaired Past Accepting new patients

Locations

7131 W Deschutes Ave
#101
Kennewick, WA 99336
Phone (509) 222-1260

6115 Burden Blvd
Ste D
Pasco, WA 99301
Phone 5094885256 ext. 8512

Interoperability endpoints

  • Direct secure messaging: lwinkel@direct.revolutionehr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1710025507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 W KENNEWICK AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362919",
            "telephone_number": "509-783-3986",
            "fax_number": "509-736-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 W KENNEWICK AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362919",
            "telephone_number": "509-783-3986",
            "fax_number": "509-736-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKEL",
        "first_name": "LAURA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001873TX",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "OD00001873TX",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "WA",
            "license": "OD00001873TX",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "WA",
            "license": "OD00001873TX",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017014",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "912017947",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WYNECOOP",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.