Clarinda Yvette Wine

Primary specialty

OpticianTaxonomy code 156FX1800X

License

S.6317 Issued in OH

Practice address

227 Candlewood PL
Saint Marys, OH 45885-9661

Phone

(419) 305-7283

Fax

(877) 283-0573

NPI assigned

Feb 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Douglas Wine Family Optometry, Inc.

  • Eyewear Supplier
  • Saint Marys, OH
  • NPI 1376919704
  NPD (past) Authorized official

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1902307804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 CANDLEWOOD PL",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458859661",
            "telephone_number": "419-305-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 CANDLEWOOD PL",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458859661",
            "telephone_number": "419-305-7283",
            "fax_number": "877-283-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINE",
        "first_name": "CLARINDA",
        "middle_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "S.6317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dane B Widner, DDS
• Kimberly Wiener, NP-C
• Wilson Orthopedic and Sports PT
• Michelle Wilson, SLP
• Nicholas D Wilson, PT
• Douglas J Wine, OD
• Jalyn Yvette Wine, STNA
• Susan Marie Wiseman, R.D., L.D.
• Wishing Well Clinic & Spa, LLC
• Jessica Jean Wuebker, APRN-CNP

• Optician in Saint Marys, OH
• Providers in Saint Marys, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.