Provider Demographics
NPI:1861476913
Name:SINGLETON, JAY A (DO)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:A
Last Name:SINGLETON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3515 TRENT RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2220
Mailing Address - Country:US
Mailing Address - Phone:252-514-2155
Mailing Address - Fax:252-514-0303
Practice Address - Street 1:3515 TRENT RD
Practice Address - Street 2:SUITE 9
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2220
Practice Address - Country:US
Practice Address - Phone:252-514-2155
Practice Address - Fax:252-514-0303
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89138H8Medicaid
NC138H8OtherBCBS INDIVIDUAL NUMBER
NC138H8OtherBCBS INDIVIDUAL NUMBER
NC2402327Medicare ID - Type Unspecified
H85392Medicare UPIN