# JACK A SINNES OD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164697652
- **Authorized official:** DR. JACK A SINNES OD (DOCTOR OWNER)
- **Authorized official phone:** (321) 254-2289

## Contact information

- **Practice address:** 2053 SARNO ROAD, MELBOURE, FL 32935
- **Practice address phone:** (321) 254-2289
- **Practice address fax:** (321) 242-9739
- **Mailing address:** 2053 SARNO ROAD, MELBOURE, FL 32935
- **Mailing address phone:** (321) 254-2289
- **Mailing address fax:** (321) 242-9739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 0PC1056 | FL | Yes |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 04/25/2008