Healthcare Provider Details

I. General information

NPI: 1225159585
Provider Name (Legal Business Name): KNEISLEY EYE CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 EAST MAIN ST SUITE 201
NEWARK DE
19711-4600
US

IV. Provider business mailing address

45 EAST MAIN ST SUITE 201
NEWARK DE
19711-4600
US

V. Phone/Fax

Practice location:
  • Phone: 302-224-3000
  • Fax: 302-224-1524
Mailing address:
  • Phone: 302-224-3000
  • Fax: 302-224-1524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberDE I30001215
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code156FC0801X
TaxonomyContact Lens Fitter
License NumberDE I30001215
License Number StateDE

VIII. Authorized Official

Name: DR. YVONNE SUZANNE KNEISLEY
Title or Position: OPTOMETRIST PRESIDENT
Credential: MS OD
Phone: 302-224-3000