Provider Demographics
NPI:1902801806
Name:SINGER, DAVID JACOB (MD, FACS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JACOB
Last Name:SINGER
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EYE CARE INSTITUTE OF ASPEN, PC
Mailing Address - Street 2:402 WEST MAIN STREET
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-1616
Mailing Address - Country:US
Mailing Address - Phone:970-920-2500
Mailing Address - Fax:970-920-0024
Practice Address - Street 1:EYE CARE INSTITUTE OF ASPEN, PC
Practice Address - Street 2:402 WEST MAIN STREET
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-1616
Practice Address - Country:US
Practice Address - Phone:970-920-2500
Practice Address - Fax:970-920-0024
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19894207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01198944Medicaid
CO83331Medicare ID - Type Unspecified
COD61668Medicare UPIN