EDWIN C III WINDER (OD) – Optometrist, NPI 1457369621

EDWIN C III WINDER (OD) is a healthcare provider. based in Tooele, Utah. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5354338-9934 (UT). The NPI Number for EDWIN C III WINDER (OD) is 1457369621

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
EDWIN C III WINDER (OD)
NPI
1457369621
Phone
(435) 882-3233
Address
300 S MAIN ST
Enumeration Date
4 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4358823253
Graduation Year
2003 (23 years ago)
PAC ID
1052218401
Professional Enrollment ID
I20031215000741
Address ID
UT840742746TO300XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

312 OPTOMETRY in UT

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Provider Addresses for EDWIN C III WINDER (OD)

  • Professional Plaza, 300, South Main Street, Tooele, Tooele County, Utah, 84074, United States

    TOOELE, UT 840742746

    Phone: (435) 882-3233

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $545.

Total Amount is formed as General ($545) + Research ($0) + Ownership ($0) = $545.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: CooperVision Inc. ($235).

Total Amount

$545

General + Research + Ownership

Payments

17

Total payment records

General Amount

$545

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031215000741IOptometryUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system6160$0
92250Photography of the retina2826$0
99213Established patient office or other outpatient visit, 20-29 minutes2319$0
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Insurance plans in this area (ZIP 84074)

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Reviews

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Frequently asked questions

What is EDWIN C III WINDER (OD)'s NPI number?
EDWIN C III WINDER (OD)'s NPI is 1457369621 — the number used across U.S. healthcare to identify this provider.
Is EDWIN C III WINDER (OD) shown as active in public data?
Registry records indicate EDWIN C III WINDER (OD) maintains an active NPI.
What area of care is associated with EDWIN C III WINDER (OD)?
EDWIN C III WINDER (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Where in Utah is EDWIN C III WINDER (OD) registered?
Use Tooele, Utah as the headline location for EDWIN C III WINDER (OD) here.
Does EDWIN C III WINDER (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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