Provider Demographics
NPI:1750105722
Name:SINGH, TANVI KAUR (OD)
Entity type:Individual
Prefix:DR
First Name:TANVI
Middle Name:KAUR
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 1:36-02 SOUTHERN DR
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-4722
Mailing Address - Country:US
Mailing Address - Phone:201-566-7547
Mailing Address - Fax:
Practice Address - Street 1:81 E RTE 4 STE 103
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2667
Practice Address - Country:US
Practice Address - Phone:201-270-3015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00732700152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist