Healthcare Provider Details

I. General information

NPI: 1134353444
Provider Name (Legal Business Name): TIMOTHY WENDELL WINTER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2009
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 N FRESNO ST STE 106
FRESNO CA
93720-2407
US

IV. Provider business mailing address

7720 N FRESNO ST STE 106
FRESNO CA
93720-2407
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-7271
  • Fax:
Mailing address:
  • Phone: 559-353-7271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberOS11326
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA-1745-13
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number20A15051
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number4303
License Number StateIA
# 5
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number4701
License Number StateOK
# 6
Primary TaxonomyN
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician Physician
License Number20A15051
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20A15051
License Number StateCA
# 8
Primary TaxonomyY
Taxonomy Code207WX0109X
TaxonomyNeuro-ophthalmology Physician
License Number20A15051
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: