Provider Demographics
NPI:1538427851
Name:MINHAS, RAJVEER SINGH (OD)
Entity type:Individual
Prefix:DR
First Name:RAJVEER
Middle Name:SINGH
Last Name:MINHAS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3044 LOCH NESS LOOP
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-4734
Mailing Address - Country:US
Mailing Address - Phone:360-899-8428
Mailing Address - Fax:
Practice Address - Street 1:1616 N 18TH ST STE 104
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-2600
Practice Address - Country:US
Practice Address - Phone:360-424-4181
Practice Address - Fax:360-424-6414
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2023-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007745-1152W00000X
WAOD61328923152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist