Healthcare Provider Details

I. General information

NPI: 1427090570
Provider Name (Legal Business Name): SUSSEX EYE CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 W MARKET ST STE A
GEORGETOWN DE
19947-2322
US

IV. Provider business mailing address

502 W MARKET ST P.O. BOX 400
GEORGETOWN DE
19947-2322
US

V. Phone/Fax

Practice location:
  • Phone: 302-856-2020
  • Fax: 302-856-4970
Mailing address:
  • Phone: 302-856-2020
  • Fax: 302-856-4970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. CARL MASCHAUER
Title or Position: PRESIDENT
Credential: O.D.
Phone: 302-856-2020