Healthcare Provider Details
I. General information
NPI: 1427390533
Provider Name (Legal Business Name): HALPERN EYE ASSOCIATES, P. A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/27/2013
Last Update Date: 07/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4605 KIRKWOOD HWY SUITE A
WILMINGTON DE
19808-5005
US
IV. Provider business mailing address
885 S GOVERNORS AVE
DOVER DE
19904-4158
US
V. Phone/Fax
- Phone: 302-999-7171
- Fax: 302-993-7863
- 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: MRS.
SHANNON
MOGER
Title or Position: VICE PRESIDENT OF INSURANCE
Credential:
Phone: 302-734-5861