Active NPI
Jaswant Singh Pannu MD PA
- Ophthalmology Physician
- Lauderdale Lakes, FL
National Provider Identifier
1295817948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- JASWANT SINGH PANNU MD PA
- Practice address
- 4300 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1918 - Phone
- (954) 484-0700
- Fax
- (954) 484-0705
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Debra Pannu
- Title
- Administrator
- Phone
- (954) 484-0700
National Provider Directory
National Provider DirectoryLocations
4300 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (954) 484-0700
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4300 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1918
Mailing address
4300 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1918
Phone (954) 484-0700
Other names 1
NPPES NPI Registry- pannu laser institute
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2007.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194566400000",
"number": "1295817948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 W OAKLAND PARK BLVD",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333131918",
"telephone_number": "954-484-0700",
"fax_number": "954-484-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W OAKLAND PARK BLVD",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333131918",
"telephone_number": "954-484-0700",
"fax_number": "954-484-0705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASWANT SINGH PANNU MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2007-11-09",
"status": "A",
"authorized_official_last_name": "PANNU",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "954-484-0700",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "pannu laser institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.