NPI 1649407842

Samuel Winn, OD

Practitioner Optometrist West Melbourne, FL

Practice location

Address: 1813 W New Haven Ave, West Melbourne, FL 32904-3930
Phone: (321) 951-2220
Fax: (321) 722-4754

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OP1132 (FL)

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Registry record

NPI: 1649407842
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2009
Record last updated: 15 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.