Individual
DR. LAURA W WINKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3221 W KENNEWICK AVE, KENNEWICK, WA 99336-2919
(509) 783-3986
(509) 736-3918
Mailing address
3221 W KENNEWICK AVE, KENNEWICK, WA 99336-2919
(509) 783-3986
(509) 736-3918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001873TX
WA
152WC0802X
Corneal and Contact Management Optometrist
OD00001873TX
WA
152WS0006X
Sports Vision Optometrist
OD00001873TX
WA
152WX0102X
Occupational Vision Optometrist
OD00001873TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017014
—
WA
01
—
912017947
FEDERAL TAX ID
WA
Enumeration date
02/02/2007
Last updated
02/16/2011
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