Healthcare Provider Details

I. General information

NPI: 1225098874
Provider Name (Legal Business Name): SINEK VISION CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 11/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 N MAIN ST
POCAHONTAS IA
50574-1626
US

IV. Provider business mailing address

330 N MAIN ST
POCAHONTAS IA
50574-1626
US

V. Phone/Fax

Practice location:
  • Phone: 712-335-3298
  • Fax: 712-335-3262
Mailing address:
  • Phone: 712-335-3298
  • Fax: 712-335-3262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER DAVID RADIG
Title or Position: OPTOMETRIST PRESIDENT
Credential: OD
Phone: 712-335-3298