1982734547 NPI number — HALPERN EYE ASSOCIATES P. A.

Table of content: (NPI 1982734547)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982734547 NPI number — HALPERN EYE ASSOCIATES P. A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HALPERN EYE ASSOCIATES P. A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982734547
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/14/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

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

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1197 AIRPORT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILFORD
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19963-6418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-422-2020
Provider Business Practice Location Address Fax Number:
302-422-4507
Provider Enumeration Date:
03/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HALPERN
Authorized Official First Name:
SAMUEL
Authorized Official Middle Name:
RYAN
Authorized Official Title or Position:
OWNER/PRESIDENT/OPTOMETRIST
Authorized Official Telephone Number:
302-734-5861

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0000950845 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1982734547 . This is a "LOCATION NPI" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".




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