Provider Demographics
NPI:1861691636
Name:SINGH, NAVIN (OD)
Entity type:Individual
Prefix:DR
First Name:NAVIN
Middle Name:
Last Name:SINGH
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 1:103 KNIGHTS CT
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1570
Mailing Address - Country:US
Mailing Address - Phone:352-637-4000
Mailing Address - Fax:352-637-4008
Practice Address - Street 1:3351 E. GULF-TO-LAKE HIGHWAY
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34453
Practice Address - Country:US
Practice Address - Phone:352-637-4000
Practice Address - Fax:352-637-4008
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 3763152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
V08009Medicare UPIN