Sinek Vision Clinic PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SINEK VISION CLINIC PC

Practice address

1019 Main St
Manson, IA 50563-5156

Phone

(712) 469-2592

Fax

(712) 469-3002

NPI assigned

Mar 3, 2006

Organization subpart

No

Name

Dr. Christopher David Radig, ODNPI 1154319010

Title

Optometrist President

Phone

(712) 335-3298

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sinek Vision Clinic PC

  • Optometrist
  • Pocahontas, IA
  • NPI 1225098874

  O20040205001093

  Same enrollment
• Sinek Vision Clinic PC

  • Optometrist
  • Rockwell City, IA
  • NPI 1467429902

  O20040205001093

  Same enrollment

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Sinek Vision Clinic PC

  • Optometrist
  • Pocahontas, IA
  • NPI 1225098874

  3870486574

  Same PAC ID
• Sinek Vision Clinic PC

  • Optometrist
  • Rockwell City, IA
  • NPI 1467429902

  3870486574

  Same PAC ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher David Radig, OD

  • Optometrist
  • Pocahontas, IA
  • NPI 1154319010
  NPD (past) Authorized official
• Timothy Allan Sinek, OD

  • Optometrist
  • Mesa, AZ
  • NPI 1073501862
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Tax ID family

Sinek Vision Clinic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sinek Vision Clinic PC

  • Optometrist
  • Pocahontas, IA
  • NPI 1225098874
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2007.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1659348100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 MAIN ST",
            "address_2": "PO 850",
            "city": "MANSON",
            "state": "IA",
            "postal_code": "505635156",
            "telephone_number": "712-469-2592",
            "fax_number": "712-469-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 MAIN ST",
            "city": "MANSON",
            "state": "IA",
            "postal_code": "505635156",
            "telephone_number": "712-469-2592",
            "fax_number": "712-469-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINEK VISION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "RADIG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OPTOMETRIST PRESIDENT",
        "authorized_official_telephone_number": "712-335-3298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113910",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116996",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0416820003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0416820001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0416820002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113910",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marni Moody, LMHC
• One Chiropractic, Inc.
• Erin Alene Peterson, ARNP
• Rhonda Beth Richardson, OTR/L
• Heather Rieken, LPTA
• Joshua Barton Sturgis, D.C
• Lawrence Dean Swenson, DDS
• The Evangelical Lutheran Good Samaritan Society
• Town of Manson Ambulance Service
• Trimark Physicians Group

• All providers in Manson, IA
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.