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Organization
WINTER OPTOMETRY LLC
Active
Organization
WINTER OPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK T WINTER OD (PRESIDENT/OPTOMETRIST)
(850) 477-0194
Entity
Organization
Contact information
Practice address
6810 N DAVIS HWY, PENSACOLA, FL 32504-6304
(850) 477-0194
(850) 380-4332
Mailing address
6810 N DAVIS HWY, PENSACOLA, FL 32504-6304
(850) 477-0194
(850) 380-4332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078855400
—
FL
01
—
410017312
RAILROAD MEDICARE
FL
01
—
44939
AVESIS
FL
01
—
47093
SPECTERA
FL
01
—
64251
DAVIS VISION
FL
01
—
FL2316
EYEMED
FL
Enumeration date
08/26/2010
Last updated
08/26/2010
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