MEDICARE: JAMES D. WINTER & ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WV0400X	Vision Therapy Optometrist

General Provider Information

NPI Number	:	1295903219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES D. WINTER & ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	18333 EGRET BAY BLVD STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3200
Country	:	US
Telephone Number	:	281-488-5169
Fax Number	:	281-335-7854

Provider Business Practice Location Address
First Line	:	18333 EGRET BAY BLVD STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3200
Country	:	US
Telephone Number	:	281-488-5169
Fax Number	:	281-335-7854

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES DUANE WINTER
Credential	:	O.D.
Telephone Number	:	281-488-5169

Provider Enumeration Date	:	02/12/2008
Last Update Date	:	02/26/2013

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