Provider Demographics
NPI:1124669171
Name:WINTERS VISION, PLLC
Entity type:Organization
Organization Name:WINTERS VISION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:509-654-3914
Mailing Address - Street 1:11408 AMBER CREST PL
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-8403
Mailing Address - Country:US
Mailing Address - Phone:509-654-3914
Mailing Address - Fax:509-834-7400
Practice Address - Street 1:1600 E CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-2174
Practice Address - Country:US
Practice Address - Phone:509-576-3989
Practice Address - Fax:509-834-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty