Provider Demographics
NPI:1881116994
Name:KAINTH, KULVIR SINGH (OD)
Entity type:Individual
Prefix:DR
First Name:KULVIR
Middle Name:SINGH
Last Name:KAINTH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 JARVIS ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-2124
Mailing Address - Country:US
Mailing Address - Phone:954-512-3296
Mailing Address - Fax:
Practice Address - Street 1:2421 VESTAL PKWY E STE 5
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-2066
Practice Address - Country:US
Practice Address - Phone:607-217-5169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-10
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008606152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist