MEDICARE: DR. RONDA S SINGH O.D.

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	OPC 3829	FL

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	:	1639226293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONDA S SINGH O.D.

Provider Business Mailing Address
First Line	:	2240 E PRESERVE WAY
Second Line	:	UNIT 205
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3917
Country	:	US
Telephone Number	:	954-804-9987
Fax Number	:	305-228-1050

Provider Business Practice Location Address
First Line	:	4500 NW 183RD ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-3045
Country	:	US
Telephone Number	:	305-620-3940
Fax Number	:

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

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	04/11/2011

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