# JEFFREY V. WINSTON, MD A PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Winston Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477687135
- **Authorized official:** DR. JEFFREY VICTOR WINSTON M.D. (OWNER)
- **Authorized official phone:** (714) 888-2080

## Contact information

- **Practice address:** 1400 N HARBOR BLVD STE 101, FULLERTON, CA 92835-4107
- **Practice address phone:** (714) 888-2080
- **Practice address fax:** (714) 888-2099
- **Mailing address:** 1400 N HARBOR BLVD STE 101, FULLERTON, CA 92835-4107
- **Mailing address phone:** (714) 888-2080
- **Mailing address fax:** (714) 888-2099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 12411T | CA | — |
| 152W00000X | Optometrist | 8786T | CA | — |
| 152W00000X | Optometrist | 9514T | CA | — |
| 207W00000X | Ophthalmology Physician | A91820 | CA | — |
| 207W00000X | Ophthalmology Physician | G49373 | CA | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 04/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G493730 | — | CA |