Healthcare Provider Details

I. General information

NPI: 1659506723
Provider Name (Legal Business Name): HALPERN EYE ASSOCIATES, P. A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 09/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 FORREST AVE SUITE 1
DOVER DE
19904-3478
US

IV. Provider business mailing address

885 S GOVERNORS AVE
DOVER DE
19904-4158
US

V. Phone/Fax

Practice location:
  • Phone: 302-346-2020
  • Fax: 302-346-4946
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 StateDE

VIII. Authorized Official

Name: SHANNON MOGER
Title or Position: DIRECTOR OF INSURANCE
Credential:
Phone: 302-734-5861