Provider Demographics
NPI:1295871002
Name:SINKLER OPTICAL FM INC
Entity type:Organization
Organization Name:SINKLER OPTICAL FM INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:SINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-236-5048
Mailing Address - Street 1:1675 CENTER AVE WEST
Mailing Address - Street 2:
Mailing Address - City:DILWORTH
Mailing Address - State:MN
Mailing Address - Zip Code:56529
Mailing Address - Country:US
Mailing Address - Phone:218-236-5048
Mailing Address - Fax:218-236-6217
Practice Address - Street 1:1675 CENTER AVE W
Practice Address - Street 2:
Practice Address - City:DILWORTH
Practice Address - State:MN
Practice Address - Zip Code:56529
Practice Address - Country:US
Practice Address - Phone:218-236-5048
Practice Address - Fax:218-236-6217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
23376OtherAVESIS
2112081OtherMEDICA
55944OtherHEALTH PARTNERS
MN61370SIOtherBLUE PLUS OF MN
MN6C492SPOtherBLUE CROSS
ND801775OtherBLUE CROSS OF ND VISION S
1008323OtherPREFERRED ONE
1008323OtherPREFERRED ONE
ND801775OtherBLUE CROSS OF ND VISION S