Provider Demographics
NPI:1033444112
Name:KALER, AMRITA SINGH (OD)
Entity Type:Individual
Prefix:
First Name:AMRITA
Middle Name:SINGH
Last Name:KALER
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 186
Mailing Address - Street 2:
Mailing Address - City:CERES
Mailing Address - State:CA
Mailing Address - Zip Code:95307-0186
Mailing Address - Country:US
Mailing Address - Phone:209-537-8971
Mailing Address - Fax:209-537-8974
Practice Address - Street 1:8419 ELK GROVE FLORIN RD
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-9518
Practice Address - Country:US
Practice Address - Phone:916-681-1101
Practice Address - Fax:209-537-8974
Is Sole Proprietor?:No
Enumeration Date:2009-10-07
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14554T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist