Provider Demographics
NPI:1417087164
Name:HALPERN EYE ASSOCIATES, P. A.
Entity Type:Organization
Organization Name:HALPERN EYE ASSOCIATES, P. A.
Other - Org Name:HALPERN EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:I
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:HALPERN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:302-734-5861
Mailing Address - Street 1:885 SOUTH 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 1:885 - SOUTH GOVERNORS AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-4158
Practice Address - Country:US
Practice Address - Phone:302-734-5861
Practice Address - Fax:302-734-1921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1245251313OtherGROUP NPI
DE0000950845Medicaid
DE0000950845Medicaid
DEG00016Medicare PIN