Individual provider Active NPI

Brian Jeffrey Singer, O.D.

  • Optometrist
  • Canoga Park, CA
National Provider Identifier
1417093832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6808T Issued in CA
Practice address
22330 Sherman Way
Suite15
Canoga Park, CA 91303-1056
Phone
(818) 992-4400
Fax
(818) 587-2433
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6808T CA Primary

Addresses

Primary practice location

22330 Sherman Way
Suite15
Canoga Park, CA 91303-1056

Mailing address

22330 Sherman Way
Suite15
Canoga Park, CA 91303-1056
Phone (818) 992-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6808TCAMDOptometrist
6808CAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417093832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22330 SHERMAN WAY",
            "address_2": "SUITE15",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031056",
            "telephone_number": "818-992-4400",
            "fax_number": "818-587-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22330 SHERMAN WAY",
            "address_2": "SUITE15",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031056",
            "telephone_number": "818-992-4400",
            "fax_number": "818-587-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGER",
        "first_name": "BRIAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6808T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.