NPIMap

Organization Active NPI

Jack a Sinnes OD

  • Optometrist
  • Melboure, FL
National Provider Identifier
1164697652
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0PC1056 Issued in FL
Legal business name
JACK A SINNES OD
Practice address
2053 Sarno Road
Melboure, FL 32935
Phone
(321) 254-2289
Fax
(321) 242-9739
NPI assigned
Apr 25, 2008
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jack A Sinnes, OD
Title
Doctor Owner
Phone
(321) 254-2289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0PC1056 FL Primary

Addresses

Primary practice location

2053 Sarno Road
Melboure, FL 32935

Mailing address

2053 Sarno Road
Melboure, FL 32935
Phone (321) 254-2289

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1164697652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 SARNO ROAD",
            "city": "MELBOURE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-254-2289",
            "fax_number": "321-242-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 SARNO ROAD",
            "city": "MELBOURE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-254-2289",
            "fax_number": "321-242-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK A SINNES OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "SINNES",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "321-254-2289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "0PC1056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melboure, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.