Organization Active NPI

Jaswant Singh Pannu MD PA

  • Ophthalmology Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1295817948
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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 Directory

Locations

4300 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (954) 484-0700

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.