Provider Demographics
NPI:1952449324
Name:SINDLINGER, STEPHEN M (OD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:M
Last Name:SINDLINGER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2421 SHERBROOKE RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-5004
Mailing Address - Country:US
Mailing Address - Phone:407-831-2222
Mailing Address - Fax:407-677-9364
Practice Address - Street 1:1241 STATE ROAD 436 STE 101
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-6443
Practice Address - Country:US
Practice Address - Phone:407-831-2222
Practice Address - Fax:407-677-9364
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2121152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT85279Medicare UPIN
FL19986Medicare ID - Type Unspecified