Active NPI
Winona Ophthalmology
- Legal Medicine
- Winona, MN
National Provider Identifier
1801858808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 20008
- Legal business name
- WINONA OPHTHALMOLOGY
- Practice address
- 62 E 4TH St
Winona, MN 55987-3508 - Phone
- (507) 454-4523
- Fax
- (507) 454-0116
- NPI assigned
- Apr 5, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Wendy Smith Suzanne Smith
- Title
- Manager
- Phone
- (507) 454-4523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 20008 | MN | Primary |
Addresses
Primary practice location
62 E 4TH St
Winona, MN 55987-3508
Mailing address
62 E 4TH St
Winona, MN 55987-3508
Phone (507) 454-4523
National Provider Directory
National Provider DirectoryLocations
62 E 4th St
Winona, MN 55987
Phone (507) 454-4523
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Legal Medicine
- Winona, MN
- NPI 1588627061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801858808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 E 4TH ST",
"city": "WINONA",
"state": "MN",
"postal_code": "559873508",
"telephone_number": "507-454-4523",
"fax_number": "507-454-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 E 4TH ST",
"city": "WINONA",
"state": "MN",
"postal_code": "559873508",
"telephone_number": "507-454-4523",
"fax_number": "507-454-0116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINONA OPHTHALMOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "WENDY SMITH",
"authorized_official_middle_name": "SUZANNE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "507-454-4523",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "MN",
"license": "20008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winona, MN
- Winona Health Services (Winona Health Services - Dialysis Unit)
- Winona Health Services
- Winona Health Services (Winona Health Services- Swing Bed)
- Winona Health Services
- Winona Health Services
- Winona Pediatric Dentistry LLC
- Winona Senior Living, LLC
- Winona Senior Services, Inc. (Watkins Manor)
- Winona Senior Services, Inc. (Adith Miller Manor)
- Winona Senior Services, Inc. (Roger Metz Manor)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.