Healthcare Provider Details

I. General information

NPI: 1073297602
Provider Name (Legal Business Name): AMRIT PAL SINGH OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BEGONIA DRIVE SUITE G
CHESTER SPRINGS PA
19425-3331
US

IV. Provider business mailing address

100 BEGONIA DRIVE SUITE G
CHESTER SPRINGS PA
19425-3331
US

V. Phone/Fax

Practice location:
  • Phone: 484-606-3937
  • Fax: 484-829-3937
Mailing address:
  • Phone: 484-606-3937
  • Fax: 484-829-3937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number27OA00732300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG004206
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: