Healthcare Provider Details

I. General information

NPI: 1922922491
Provider Name (Legal Business Name): DANIEL SINGER LICENSED OPTICIAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 GLENWOOD AVE
SATELLITE BEACH FL
32937-3136
US

IV. Provider business mailing address

349 GLENWOOD AVE
SATELLITE BEACH FL
32937-3136
US

V. Phone/Fax

Practice location:
  • Phone: 321-345-9041
  • Fax:
Mailing address:
  • Phone: 321-345-9041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberDO4948
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: