Individual provider Active NPI

Ronald Michael Singer, O.D.

  • Optometrist
  • Canoga Park, CA
National Provider Identifier
1497891170
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT7353-TLG Issued in CA
Practice address
22330 Sherman Way
Suite #15
Canoga Park, CA 91303-1056
Phone
(818) 992-4400
Fax
(818) 587-2433
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT7353-TLG CA Primary

Addresses

Primary practice location

22330 Sherman Way
Suite #15
Canoga Park, CA 91303-1056

Mailing address

22330 Sherman Way
Suite #15
Canoga Park, CA 91303-1056
Phone (818) 992-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818000594 CA Practitioner - Optometry 1850364852 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT7353-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald M Singer OD an Optometric Co Optometrist CurrentSince Feb 24, 2014 Accepting new patients

Locations

22330 Sherman Way
Ste 15
Canoga Park, CA 91303
Phone (818) 992-4400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1497891170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22330 SHERMAN WAY",
            "address_2": "SUITE #15",
            "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": "SUITE #15",
            "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": "RONALD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7353-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.