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NPI Code Detail

MEDICARE: DR. RAE A WINTERS OD

MEDICARE:  DR. RAE A WINTERS  OD
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
1152W00000XOptometrist18004100AIN

General Provider Information

NPI Number : 1790268134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAE A WINTERS OD
Provider Business Mailing Address
First Line : 13840 E 96TH ST
Second Line :
City : MCCORDSVILLE
State : IN
Zip : 46055-9394
Country : US
Telephone Number : 317-720-2020
Fax Number : 317-458-1594
Provider Business Practice Location Address
First Line : 13840 E 96TH ST
Second Line :
City : MCCORDSVILLE
State : IN
Zip : 46055-9394
Country : US
Telephone Number : 317-720-2020
Fax Number : 317-458-1594
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2018
Last Update Date : 05/21/2025

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Directions to “ DR. RAE A WINTERS OD” Practice Location

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