Healthcare Provider Details

I. General information

NPI: 1053737163
Provider Name (Legal Business Name): HALPERN EYE ASSOCIATES, P. A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2014
Last Update Date: 03/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 S GOVERNORS AVE
DOVER DE
19904-4158
US

IV. Provider business mailing address

501 COLLEGE PARK DR
GEORGETOWN DE
19947
US

V. Phone/Fax

Practice location:
  • Phone: 302-734-5861
  • Fax: 302-734-1921
Mailing address:
  • Phone: 302-734-5861
  • Fax: 302-734-1921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. SAMUEL RYAN HALPERN
Title or Position: OWNER/PRESIDENT/OPTOMETRIST
Credential: O. D.
Phone: 302-734-5861