Organization
E WINGO & P COLCHISKI PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDER EARL WINGO MD (PART-OWNER)
(352) 629-2422
Entity
Organization
Contact information
Practice address
2441 E FORT KING ST BLDG 100, OCALA, FL 34471-2558
(352) 629-2422
(352) 732-0177
Mailing address
2441 E FORT KING ST BLDG 100, OCALA, FL 34471-2558
(352) 629-2422
(352) 732-0177
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1160000001
MEDICARE PTAN
FL
Enumeration date
11/12/2014
Last updated
11/12/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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