Provider Demographics
NPI:1679619464
Name:SINKLER OPTICAL FM INC
Entity Type:Organization
Organization Name:SINKLER OPTICAL FM INC
Other - Org Name:SINKLER OPTICAL
Other - Org Type:Other Name
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 1:100 SOUTH 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103
Mailing Address - Country:US
Mailing Address - Phone:701-237-5787
Mailing Address - Fax:701-237-4337
Practice Address - Street 1:100 SOUTH 4TH STREET
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103
Practice Address - Country:US
Practice Address - Phone:701-237-5787
Practice Address - Fax:701-237-4337
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
ND801776OtherVISION SERVICE BLUE CROSS
ND70883OtherBLUE CROSS
ND801776OtherVISION SERVICE BLUE CROSS