Healthcare Provider Details

I. General information

NPI: 1295871002
Provider Name (Legal Business Name): SINKLER OPTICAL FM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 CENTER AVE W
DILWORTH MN
56529
US

IV. Provider business mailing address

1675 CENTER AVE WEST
DILWORTH MN
56529
US

V. Phone/Fax

Practice location:
  • Phone: 218-236-5048
  • Fax: 218-236-6217
Mailing address:
  • Phone: 218-236-5048
  • Fax: 218-236-6217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: JOHN ROGER SINKLER
Title or Position: PRESIDENT
Credential:
Phone: 218-236-5048