Provider Demographics
NPI:1275662165
Name:HALPERN EYE ASSOCIATES, P. A.
Entity Type:Organization
Organization Name:HALPERN EYE ASSOCIATES, P. A.
Other - Org Name:HALPERN EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF INSURANCE
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:MOGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-734-5861
Mailing Address - Street 1:885 S GOVERNORS AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-4158
Mailing Address - Country:US
Mailing Address - Phone:302-734-5861
Mailing Address - Fax:302-734-1921
Practice Address - Street 1:1237 QUINTILIO DR
Practice Address - Street 2:GOVENORS SQUARE PLAZA II
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-6005
Practice Address - Country:US
Practice Address - Phone:302-838-0800
Practice Address - Fax:302-838-1644
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAROLD HALPERN, ODP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-05
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000950845Medicaid
DE1245251313OtherGROUP NPI
DE1275662165OtherLOCATION NPI
DE1245251313OtherGROUP NPI
DE0000950845Medicaid