Organization
LORRAINE MARY WINGER, O.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE MARY WINGER O.D. (PRESIDENT)
(541) 382-4756
Entity
Organization
Contact information
Practice address
822 NW WALL ST, BEND, OR 97703-2715
(541) 382-4756
(541) 382-4455
Mailing address
822 NW WALL ST, BEND, OR 97703-2715
(541) 382-4756
(541) 382-4455
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1833-AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285700526
INDIVIDUAL NPI
—
Enumeration date
10/06/2015
Last updated
10/06/2015
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