Provider Demographics
NPI:1457403495
Name:RONALD WINKELMAN O.D. P.C.
Entity type:Organization
Organization Name:RONALD WINKELMAN O.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:WINKELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-271-8239
Mailing Address - Street 1:PO BOX 17233
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-0233
Mailing Address - Country:US
Mailing Address - Phone:808-271-8239
Mailing Address - Fax:
Practice Address - Street 1:525 ALAKAWA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5764
Practice Address - Country:US
Practice Address - Phone:808-526-6106
Practice Address - Fax:808-526-6132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV429152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV102244Medicare PIN