Provider Demographics
NPI:1346985934
Name:WINK OPTICAL AND EYE CARE PLLC
Entity Type:Organization
Organization Name:WINK OPTICAL AND EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RIDDHI
Authorized Official - Middle Name:
Authorized Official - Last Name:GOHEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:806-223-8181
Mailing Address - Street 1:5337 PONTE TRESA DR
Mailing Address - Street 2:
Mailing Address - City:BEE CAVES
Mailing Address - State:TX
Mailing Address - Zip Code:78738-4170
Mailing Address - Country:US
Mailing Address - Phone:512-843-3396
Mailing Address - Fax:
Practice Address - Street 1:3651 HIGHWAY 183 STE 190
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-8943
Practice Address - Country:US
Practice Address - Phone:512-843-3396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-28
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty