Provider Demographics
NPI:1497891170
Name:SINGER, RONALD MICHAEL (OD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:MICHAEL
Last Name:SINGER
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 1:22330 SHERMAN WAY
Mailing Address - Street 2:SUITE #15
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1056
Mailing Address - Country:US
Mailing Address - Phone:818-992-4400
Mailing Address - Fax:818-587-2433
Practice Address - Street 1:22330 SHERMAN WAY
Practice Address - Street 2:SUITE #15
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1056
Practice Address - Country:US
Practice Address - Phone:818-992-4400
Practice Address - Fax:818-587-2433
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT7353-TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU29666Medicare UPIN
CAU29667Medicare UPIN