Provider Demographics
NPI:1124166269
Name:SINKO, LINDA LOOS (OD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:LOOS
Last Name:SINKO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2089444
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-7436
Mailing Address - Country:US
Mailing Address - Phone:636-200-4393
Mailing Address - Fax:636-527-0766
Practice Address - Street 1:28 MAIN ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-7436
Practice Address - Country:US
Practice Address - Phone:732-240-2021
Practice Address - Fax:732-240-5560
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00403500152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ230987Medicaid
NJ521679Medicare ID - Type Unspecified
NJU26939Medicare UPIN