Organization Active NPI

Singh Vision, PLLC

  • Cornea and External Diseases Specialist Physician
  • Dale City, VA
National Provider Identifier
1902532450
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
Legal business name
SINGH VISION, PLLC
Practice address
12703 Apollo Dr
Dale City, VA 22193
Phone
(908) 721-2178
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Carly Lemire-Lake
Title
Credentialing
Phone
(518) 779-5585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0120X Primary

Addresses

Primary practice location

12703 Apollo Dr
Dale City, VA 22193

Mailing address

5 Park Hill CT
Morris Plains, NJ 07950-2800
Phone (908) 721-2178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231108003990 VA Part B Supplier - Clinic/Group Practice 8729435979 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

Locations

8644 Sudley Rd
Ste 201
Manassas, VA 20110
Phone (571) 349-2191

12703 Apollo Dr
Woodbridge, VA 22192
Phone (908) 721-2178

Interoperability endpoints

  • Direct secure messaging: jsingh@singhvision.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1902532450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PARK HILL CT",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502800",
            "telephone_number": "908-721-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12703 APOLLO DR",
            "city": "DALE CITY",
            "state": "VA",
            "postal_code": "22193",
            "telephone_number": "908-721-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGH VISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "LEMIRE-LAKE",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "518-779-5585"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dale City, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.