Provider Demographics
NPI:1043213416
Name:SINGER EYE CENTER, P.C.
Entity Type:Organization
Organization Name:SINGER EYE CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESDIENT/MANAGING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:A
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:802-728-9993
Mailing Address - Street 1:45 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:VT
Mailing Address - Zip Code:05060-1371
Mailing Address - Country:US
Mailing Address - Phone:802-728-9993
Mailing Address - Fax:802-705-1002
Practice Address - Street 1:45 S MAIN ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:VT
Practice Address - Zip Code:05060-1371
Practice Address - Country:US
Practice Address - Phone:802-728-9993
Practice Address - Fax:802-705-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420007312207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT7316764OtherCIGNA
VT1009383Medicaid
VT59367SECEOtherBCBS
VT0101490Y0VT01OtherANTHEM
VT1009383Medicaid