Provider Demographics
NPI:1316936487
Name:WINTON, KENNETH R (OD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:R
Last Name:WINTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6511 HIGHWAY 431 S STE A
Mailing Address - Street 2:
Mailing Address - City:OWENS CROSS ROADS
Mailing Address - State:AL
Mailing Address - Zip Code:35763-9217
Mailing Address - Country:US
Mailing Address - Phone:256-469-6427
Mailing Address - Fax:256-888-1299
Practice Address - Street 1:6511 HIGHWAY 431 S STE A
Practice Address - Street 2:
Practice Address - City:OWENS CROSS ROADS
Practice Address - State:AL
Practice Address - Zip Code:35763-9217
Practice Address - Country:US
Practice Address - Phone:256-469-6427
Practice Address - Fax:256-888-1299
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALSA19TA609152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U92456Medicare UPIN
AL05152700Medicare ID - Type Unspecified