Provider Demographics
NPI:1346233699
Name:SINDT, STEVEN
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:SINDT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 GLENN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:IA
Mailing Address - Zip Code:52314-1588
Mailing Address - Country:US
Mailing Address - Phone:319-895-8888
Mailing Address - Fax:319-895-8889
Practice Address - Street 1:202 GLENN ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IA
Practice Address - Zip Code:52314-1588
Practice Address - Country:US
Practice Address - Phone:319-895-8888
Practice Address - Fax:319-895-8889
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02059152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA53556OtherBLUE CROSS BLUE SHIELD
IA2135186Medicaid
IA410033159Medicare Oscar/Certification
IA20798Medicare ID - Type Unspecified
IA1297250001Medicare NSC
IA2135186Medicaid