Organization
SINEK VISION CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER DAVID RADIG OD (OPTOMETRIST PRESIDENT)
(712) 335-3298
Entity
Organization
Contact information
Practice address
1019 MAIN ST, MANSON, IA 50563-5156
(712) 469-2592
(712) 469-3002
Mailing address
1019 MAIN ST, PO 850, MANSON, IA 50563-5156
(712) 469-2592
(712) 469-3002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113910
—
IA
05
—
0116996
—
IA
01
—
0416820001
DMERC
—
01
—
0416820002
DMERC
—
01
—
0416820003
DMERC
—
05
—
2113910
—
IA
Enumeration date
03/03/2006
Last updated
11/06/2007
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