Provider Demographics
NPI:1174976039
Name:WINKLER, SHELSEA RACHELLE (OD)
Entity type:Individual
Prefix:DR
First Name:SHELSEA
Middle Name:RACHELLE
Last Name:WINKLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2656 W LA PALMA AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-2601
Mailing Address - Country:US
Mailing Address - Phone:714-995-3132
Mailing Address - Fax:
Practice Address - Street 1:930 SUNNYSLOPE RD STE E2
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-5638
Practice Address - Country:US
Practice Address - Phone:831-637-0705
Practice Address - Fax:831-637-4701
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55357152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist