Provider Demographics
NPI:1245365865
Name:WINKELSTEIN, ALAN MARC (OD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:MARC
Last Name:WINKELSTEIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:ALAN
Other - Middle Name:MARC
Other - Last Name:WINKELSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD, INC
Mailing Address - Street 1:30520 RANCHO CALIFORNIA RD
Mailing Address - Street 2:SUITE A106
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-3212
Mailing Address - Country:US
Mailing Address - Phone:951-676-9465
Mailing Address - Fax:951-694-5716
Practice Address - Street 1:30520 RANCHO CALIFORNIA RD
Practice Address - Street 2:SUITE A106
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-3212
Practice Address - Country:US
Practice Address - Phone:951-676-9465
Practice Address - Fax:951-694-5716
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8402T152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy