MEDICARE: DR. LESLIE WORTHINGTON SINGER OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0618001800	VA
2	152W00000X	Optometrist	2137	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255580189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LESLIE WORTHINGTON SINGER OD

Provider Business Mailing Address
First Line	:	1950 OLD GALLOWS RD
Second Line	:	520
City	:	VIENNA
State	:	VA
Zip	:	22182-3990
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	703-991-0514

Provider Business Practice Location Address
First Line	:	1975 HIGH HOUSE RD
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-8452
Country	:	US
Telephone Number	:	919-461-0771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2008
Last Update Date	:	03/17/2018

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