Provider Demographics
NPI:1427390533
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:VICE PRESIDENT OF INSURANCE
Authorized Official - Prefix:MRS
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 1:4605 KIRKWOOD HWY
Practice Address - Street 2:SUITE A
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5005
Practice Address - Country:US
Practice Address - Phone:302-999-7171
Practice Address - Fax:302-993-7863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1245251313OtherGROUP NPI
DEG00016OtherMEDICARE GROUP
DEG00016OtherMEDICARE PTAN