Healthcare Provider Details
I. General information
NPI: 1528197563
Provider Name (Legal Business Name): HALPERN EYE ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/05/2007
Last Update Date: 11/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1301 BRIDGEVILLE HWY
SEAFORD DE
19973-1616
US
IV. Provider business mailing address
885 S GOVERNORS AVE
DOVER DE
19904-4158
US
V. Phone/Fax
- Phone: 302-629-9197
- 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 | |
VIII. Authorized Official
Name: DR.
I
JOEL
HALPERN
Title or Position: PROVIDER/OWNER
Credential: O. D.
Phone: 302-734-5861