Provider Demographics
NPI:1609150895
Name:SINGH, DEVIN (OD)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
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 1:6210 TWAIN ST
Mailing Address - Street 2:UNIT 103
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-2456
Mailing Address - Country:US
Mailing Address - Phone:646-458-1661
Mailing Address - Fax:
Practice Address - Street 1:6210 TWAIN ST
Practice Address - Street 2:UNIT 103
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-2456
Practice Address - Country:US
Practice Address - Phone:646-458-1661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5027152W00000X
NY56-007867152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ27OA00635100OtherOPTOMETRIC LICENSE NUMBER
NY56-007867OtherNEW YORK DEPT OF HEALTH