Healthcare Provider Details

I. General information

NPI: 1467429902
Provider Name (Legal Business Name): SINEK VISION CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

411 4 STREET
ROCKWELL CITY IA
50579-1413
US

IV. Provider business mailing address

411 4 STREET
ROCKWELL CITY IA
50579-1413
US

V. Phone/Fax

Practice location:
  • Phone: 712-297-8607
  • Fax: 712-297-7045
Mailing address:
  • Phone: 712-297-8607
  • Fax: 712-297-7045

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