MEDICARE: DR. PEGGY R. SINKOE O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1143	GA
2	152WC0802X	Corneal and Contact Management Optometrist	1143	GA
3	152WP0200X	Pediatric Optometrist	1143	GA

General Provider Information

NPI Number	:	1063571800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEGGY R. SINKOE O.D.

Provider Business Mailing Address
First Line	:	1201 HOPKINS TER NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-3823
Country	:	US
Telephone Number	:	770-380-0346
Fax Number	:	404-534-1242

Provider Business Practice Location Address
First Line	:	3479 MEMORIAL DR
Second Line	:	EXHIBIT A & B
City	:	DECATUR
State	:	GA
Zip	:	30032-2735
Country	:	US
Telephone Number	:	404-534-1222
Fax Number	:	404-534-1242

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2006
Last Update Date	:	09/11/2025

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