MEDICARE: HALPERN EYE ASSOCIATES, P. A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1245251313	OTHER	DE	GROUP NPI
3	1275662165	OTHER	DE	LOCATION NPI

General Provider Information

NPI Number	:	1275662165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALPERN EYE ASSOCIATES, P. A.

Provider Business Mailing Address
First Line	:	885 S GOVERNORS AVE
Second Line	:
City	:	DOVER
State	:	DE
Zip	:	19904-4158
Country	:	US
Telephone Number	:	302-734-5861
Fax Number	:	302-734-1921

Provider Business Practice Location Address
First Line	:	1237 QUINTILIO DR
Second Line	:	GOVENORS SQUARE PLAZA II
City	:	BEAR
State	:	DE
Zip	:	19701-6005
Country	:	US
Telephone Number	:	302-838-0800
Fax Number	:	302-838-1644

Authorized Official
Title or Position	:	DIRECTOR OF INSURANCE
Name	:	SHANNON MOGER
Credential	:
Telephone Number	:	302-734-5861

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	02/21/2012

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