Organization Active NPI

Lorraine Mary Winger, O.D.,P.C.

  • Optometrist
  • Bend, OR
National Provider Identifier
1720458540
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1833-AT Issued in OR
Legal business name
LORRAINE MARY WINGER, O.D.,P.C.
Practice address
822 NW Wall St
Bend, OR 97703-2715
Phone
(541) 382-4756
Fax
(541) 382-4455
NPI assigned
Oct 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Lorraine Mary Winger, O.D.
Title
President
Phone
(541) 382-4756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1833-AT OR Primary

Addresses

Primary practice location

822 NW Wall St
Bend, OR 97703-2715

Mailing address

822 NW Wall St
Bend, OR 97703-2715
Phone (541) 382-4756

Other identifiers 1

IdentifierTypeStateIssuer
1285700526OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

822 NW Wall St
Bend, OR 97703
Phone (541) 382-4756

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1720458540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 NW WALL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032715",
            "telephone_number": "541-382-4756",
            "fax_number": "541-382-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 NW WALL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032715",
            "telephone_number": "541-382-4756",
            "fax_number": "541-382-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRAINE MARY WINGER, O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "WINGER",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-382-4756",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1833-AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1285700526",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.