Provider Demographics
NPI:1306891619
Name:HINKLEY, SARAH B (OD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:B
Last Name:HINKLEY
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 1:1310 CRAMER CIR
Mailing Address - Street 2:ROOM 508
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-2736
Mailing Address - Country:US
Mailing Address - Phone:231-591-2222
Mailing Address - Fax:231-591-3991
Practice Address - Street 1:1310 CRAMER CIR
Practice Address - Street 2:ROOM 508
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-2736
Practice Address - Country:US
Practice Address - Phone:231-591-2222
Practice Address - Fax:231-591-3991
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5478152W00000X
MI4244152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MISH004244OtherBLUE CROSS
V00401Medicare UPIN
MI0784610001Medicare NSC
MIE47602063Medicare PIN