Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK R WINCKLER, OD
ActiveMARK R WINCKLER, OD is a Optometrist healthcare provider located in PINE RIDGE, South Dakota. NPI 1538268388 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PINE RIDGE, SD
Registration Details
- NPI Number
- 1538268388
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2006 (19.905293170581 yrs)
- Last Updated
- Jan 3, 2024
- Licenses
-
631 (SD)1269 (NE)
Practice Information
- Address
-
207 E MAIN ST STE 1PINE RIDGE, SD, 577703184Browse SD providers · Browse ZIP 57770
- Phone
- 6058672772
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.