Provider Demographics
NPI:1811539596
Name:SINGLETARY, CHANDLER (OD)
Entity Type:Individual
Prefix:DR
First Name:CHANDLER
Middle Name:
Last Name:SINGLETARY
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 1:4831 CALDWELL MILL RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4425
Mailing Address - Country:US
Mailing Address - Phone:813-454-3922
Mailing Address - Fax:
Practice Address - Street 1:200 SUMMIT BLVD STE 168
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-3171
Practice Address - Country:US
Practice Address - Phone:205-761-4399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-14
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-E27-TA-B67152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist