Provider Demographics
NPI:1689769143
Name:SOUTHWEST EYE SURGEONS, LTD
Entity Type:Organization
Organization Name:SOUTHWEST EYE SURGEONS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PARMINDERPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-974-4789
Mailing Address - Street 1:9151 W THUNDERBIRD RD # G101
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4906
Mailing Address - Country:US
Mailing Address - Phone:623-974-4789
Mailing Address - Fax:623-974-4798
Practice Address - Street 1:9151 W THUNDERBIRD RD # G101
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4906
Practice Address - Country:US
Practice Address - Phone:623-974-4789
Practice Address - Fax:623-974-4798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28973207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ560814Medicaid
AZ560814Medicaid
AZZ64083Medicare ID - Type Unspecified