Individual
JAMES E VAN WINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
105 W HARVEST RD, BLUFFTON, IN 46714-9007
(260) 824-3424
(260) 824-9116
Mailing address
PO BOX 374, BLUFFTON, IN 46714-0374
(260) 824-3424
(260) 824-9116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001464
IN
152WC0802X
Corneal and Contact Management Optometrist
18001464
IN
152WP0200X
Pediatric Optometrist
18001464
IN
152WS0006X
Sports Vision Optometrist
18001464
IN
152WX0102X
Occupational Vision Optometrist
18001464
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200011590A
—
IN
01
—
352144351
BLUFFTON FAMILY EYE CARE
IN
Enumeration date
12/30/2005
Last updated
11/29/2007
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