Organization Active NPI

Winona Ophthalmology

  • Legal Medicine
  • Winona, MN
National Provider Identifier
1801858808
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
20008 Issued in MN
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.