Healthcare Provider Details

I. General information

NPI: 1659267482
Provider Name (Legal Business Name): ARYA SINHA NEWBERRY OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E 2ND ST
ROYAL OAK MI
48067-2694
US

IV. Provider business mailing address

1449 ROSEDALE AVE
SYLVAN LAKE MI
48320-1770
US

V. Phone/Fax

Practice location:
  • Phone: 248-951-0100
  • Fax:
Mailing address:
  • Phone: 248-396-2787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901005878
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: