Healthcare Provider Details
I. General information
NPI: 1407986086
Provider Name (Legal Business Name): HALPERN EYE ASSOCIATES, P. A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/06/2007
Last Update Date: 09/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
35786 ATLANTIC AVE UNIT 1
MILLVILLE DE
19967-6955
US
IV. Provider business mailing address
885 S GOVERNORS AVE
DOVER DE
19904-4158
US
V. Phone/Fax
- Phone: 302-537-0234
- Fax: 302-537-0279
- 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 | |
VIII. Authorized Official
Name: DR.
JOEL
HALPERN
Title or Position: OD OWNER
Credential: O. D.
Phone: 302-734-5861