Provider Demographics
NPI:1639226293
Name:SINGH, RONDA S (OD)
Entity Type:Individual
Prefix:DR
First Name:RONDA
Middle Name:S
Last Name:SINGH
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 1:2240 E PRESERVE WAY
Mailing Address - Street 2:UNIT 205
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3917
Mailing Address - Country:US
Mailing Address - Phone:954-804-9987
Mailing Address - Fax:305-228-1050
Practice Address - Street 1:4500 NW 183RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-3045
Practice Address - Country:US
Practice Address - Phone:305-620-3940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 3829152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL620903300Medicaid
FL620903300Medicaid
FLU97740Medicare UPIN