Provider Demographics
NPI:1356940449
Name:SINGH, SUNISH (OD)
Entity type:Individual
Prefix:DR
First Name:SUNISH
Middle Name:
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 1:351 LOUCKS RD STE B3
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-1782
Mailing Address - Country:US
Mailing Address - Phone:717-650-3042
Mailing Address - Fax:
Practice Address - Street 1:351 LOUCKS RD STE B3
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-1782
Practice Address - Country:US
Practice Address - Phone:717-650-3042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003736152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist