Provider Demographics
NPI:1285625293
Name:WINEINGER, BARRY (OD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:WINEINGER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 N ESPLANADE ST
Mailing Address - Street 2:
Mailing Address - City:CUERO
Mailing Address - State:TX
Mailing Address - Zip Code:77954-3604
Mailing Address - Country:US
Mailing Address - Phone:361-275-5743
Mailing Address - Fax:361-275-6432
Practice Address - Street 1:510 N ESPLANADE ST
Practice Address - Street 2:
Practice Address - City:CUERO
Practice Address - State:TX
Practice Address - Zip Code:77954-3604
Practice Address - Country:US
Practice Address - Phone:361-275-5743
Practice Address - Fax:361-275-6432
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2136TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0930919-01Medicaid
0684450001OtherCIGNA GOVERNMENT SERVICES
TX0930919-01Medicaid
E15CMedicare PIN