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Physician Compare National (NPI:1700969193)

HEALTHCARE PROVIDER: JACK HAROLD SINOW O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1700969193
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2466596127
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100218000323
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SINOW
Individual professional last name
Provider First Name JACK
Individual professional first name
Provider Middle Name H
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Individual professional's medical school
Graduation Year 1972
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 71 6TH ST
Group Practice or individual's line 1 address
City SAN FRANCISCO
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 941031610
Group Practice or individual's zip code (9 digits when available)
Phone Number 4157773626540265
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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