Individual provider Active NPI

Kuljeet Singh, O.D.

  • Optometrist
  • Federal Way, WA
National Provider Identifier
1659424661
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003824 Issued in WA
Practice address
31625 Pacific Hwy S Ste E1
Federal Way, WA 98003-5645
Phone
(253) 946-4392
NPI assigned
Jan 21, 2007
Sex
Female
Sole proprietor
Yes

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 OD00003824 WA Primary

Addresses

Primary practice location

31625 Pacific Hwy S Ste E1
Federal Way, WA 98003-5645

Mailing address

31625 Pacific Hwy S Ste E1
Federal Way, WA 98003-5645
Phone (253) 946-4392

Other identifiers 3

IdentifierTypeStateIssuer
0642SIOtherWAREGENCE PIN
WA 0979 SIOtherWANBN PIN
WA 3824OtherWAEYEMED PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100924001122 WA Practitioner - Optometry 1658497870 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD00003824WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Wave Eye Doctors Professional Limited Liability Company CurrentSince Jul 3, 2023 Accepting new patients
Blue Wave Eye Doctors Professional Limited Liability Company Optometrist CurrentSince Jul 3, 2023 Accepting new patients
Evergreen Eye Center, PLLC Past Accepting new patients

Locations

305 SE Everett Mall Way
Ste 21
Everett, WA 98208
Phone (425) 267-0575

921 N 10th St
Ste B
Renton, WA 98057
Phone (425) 255-1022

Interoperability endpoints

  • Direct secure messaging: kuljeet.singh@70976835354628.direct.elationemr.com

Organizations & group practices 3

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": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659424661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31625 PACIFIC HWY S STE E1",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035645",
            "telephone_number": "253-946-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31625 PACIFIC HWY S STE E1",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035645",
            "telephone_number": "253-946-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "KULJEET",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PIN",
            "identifier": "0642SI",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBN PIN",
            "identifier": "WA 0979 SI",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PIN",
            "identifier": "WA 3824",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.