Individual provider Active NPI

James Ernest Winnick, O.D.

  • Corneal and Contact Management Optometrist
  • Oakdale, CA
National Provider Identifier
1821171000
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
12016 Issued in CA
Practice address
141 California Ave
Oakdale, CA 95361
Phone
(209) 847-3051
Fax
(209) 951-2348
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 12016TLG CA
Corneal and Contact Management Optometrist 152WC0802X 12016 CA Primary

Addresses

Primary practice location

141 California Ave
Oakdale, CA 95361

Mailing address

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

Other practice location 1

3133 W March Ln
Suite 2020
Stockton, CA 95219-2361
Phone (209) 951-0820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081217000018 CA Practitioner - Optometry 8527120195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New York University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James E Winnick OD Professional CorporationGroup PAC ID 5496187742, 2 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12016TLGCAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James E Winnick OD Professional Corporation CurrentSince May 1, 2019 Accepting new patients
First Optometric Care of Northern California PC PastSince Aug 1, 2019 Accepting new patients

Locations

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1821171000",
    "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": "209-951-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CALIFORNIA AVE",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "95361",
            "telephone_number": "209-847-3051",
            "fax_number": "209-951-2348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3133 W March Ln",
            "address_2": "Suite 2020",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952192361",
            "country_code": "US",
            "telephone_number": "209-951-0820",
            "fax_number": "209-951-2348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINNICK",
        "first_name": "JAMES",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "12016TLG",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "12016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

Verify at the official NPI Registry.