Individual provider Active NPI

Camille R. Singh, O.D.

  • Optometrist
  • Surprise, AZ
National Provider Identifier
1982034401
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1950 Issued in AZ
Practice address
13706 W Bell Rd Ste 10
Surprise, AZ 85374-3557
Phone
(623) 546-0577
NPI assigned
Nov 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1950 AZ Primary
Optometrist 152W00000X 0618002624 VA

Addresses

Primary practice location

13706 W Bell Rd Ste 10
Surprise, AZ 85374-3557

Mailing address

2400 N Bullard Ave Apt 1155
Goodyear, AZ 85395-3359

Other practice location 1

9780 W Northern Ave Ste 1120
Peoria, AZ 85345-4607
Phone (623) 877-8745

Other practice location 2

701 Lynnhaven Pkwy Spc B2
Virginia Beach, VA 23452-7299
Phone (757) 431-2447

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1950AZMDOptometrist
0618002624VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Le Family Eye Care Optometrist CurrentSince Jun 15, 2021 Accepting new patients

Locations

13706 W Bell Rd
Ste 10
Surprise, AZ 85374
Phone (623) 546-0081

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": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1982034401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N BULLARD AVE APT 1155",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853953359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13706 W BELL RD STE 10",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743557",
            "telephone_number": "623-546-0577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9780 W Northern Ave Ste 1120",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853454607",
            "country_code": "US",
            "telephone_number": "623-877-8745",
            "fax_number": "623-877-8405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Lynnhaven Pkwy Spc B2",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527299",
            "country_code": "US",
            "telephone_number": "757-431-2447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "CAMILLE",
        "middle_name": "R.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1950",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.