Healthcare Provider Details
I. General information
NPI: 1245251313
Provider Name (Legal Business Name): HALPERN EYE ASSOCIATES, P. A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
885 - SOUTH GOVERNORS AVE.
DOVER DE
19904-4158
US
IV. Provider business mailing address
885 SOUTH GOVERNORS AVE.
DOVER DE
19904-4158
US
V. Phone/Fax
- Phone: 302-734-5861
- Fax: 302-734-1921
- Phone: 302-734-5861
- Fax: 302-734-1921
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | DE |
VIII. Authorized Official
Name: DR.
I
JOEL
HALPERN
Title or Position: OWNER
Credential: O.D.
Phone: 302-734-5861