Provider Demographics
NPI:1124223185
Name:EPSTEIN EYE ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:EPSTEIN EYE ASSOCIATES, P.A.
Other - Org Name:DR. KAPLAN DR. EPSTEIN OPTOMETRISTS P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:302-322-4444
Mailing Address - Street 1:169 CHRISTIANA RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-3040
Mailing Address - Country:US
Mailing Address - Phone:302-322-4444
Mailing Address - Fax:302-322-0875
Practice Address - Street 1:169 CHRISTIANA RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-3040
Practice Address - Country:US
Practice Address - Phone:302-322-4444
Practice Address - Fax:302-322-0875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE197328742OtherBLUE CROSS PROVIDER NO.
DECB4722OtherRAILROAD MEDICARE GROUP
DE197328742OtherBLUE CROSS PROVIDER NO.
DE=========OtherAETNA
0819400001Medicare NSC
DE612695Medicare PIN