Provider Demographics
NPI:1235590902
Name:DANIEL S WINTER, OD, PC
Entity Type:Organization
Organization Name:DANIEL S WINTER, OD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WINTER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:706-265-2368
Mailing Address - Street 1:156 POWER CENTER DR
Mailing Address - Street 2:
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-9416
Mailing Address - Country:US
Mailing Address - Phone:706-265-2368
Mailing Address - Fax:706-265-2377
Practice Address - Street 1:156 POWER CENTER DR
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-9416
Practice Address - Country:US
Practice Address - Phone:706-265-2368
Practice Address - Fax:706-265-2377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty