Healthcare Provider Details

I. General information

NPI: 1689678062
Provider Name (Legal Business Name): CHRISTINE A SINGSON O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 HORNADAY RD
BROWNSBURG IN
46112-1450
US

IV. Provider business mailing address

90 HORNADAY RD
BROWNSBURG IN
46112-1450
US

V. Phone/Fax

Practice location:
  • Phone: 317-852-4741
  • Fax: 317-858-2967
Mailing address:
  • Phone: 317-852-4741
  • Fax: 317-858-2967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number18002778B
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: