Provider Demographics
NPI:1396223434
Name:SINGH, KULVIR (OD)
Entity Type:Individual
Prefix:
First Name:KULVIR
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 ARROWCREEK PKWY UNIT 433
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-5525
Mailing Address - Country:US
Mailing Address - Phone:647-677-0010
Mailing Address - Fax:
Practice Address - Street 1:5645 MEADOWOOD MALL CIR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6521
Practice Address - Country:US
Practice Address - Phone:775-826-7400
Practice Address - Fax:775-826-7420
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV991152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist