Healthcare Provider Details

I. General information

NPI: 1770378929
Provider Name (Legal Business Name): ISHLEEN SINGH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3717 NW 7TH ST
MIAMI FL
33126-5501
US

IV. Provider business mailing address

251 NE 20TH ST APT 2604
MIAMI FL
33137-5625
US

V. Phone/Fax

Practice location:
  • Phone: 786-792-6530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC6935
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: