Provider Demographics
NPI:1457318669
Name:HALPERN, NEIL S (OD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:S
Last Name:HALPERN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 E TRENTON AVE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-1004
Mailing Address - Country:US
Mailing Address - Phone:215-295-4434
Mailing Address - Fax:215-295-8778
Practice Address - Street 1:1 E TRENTON AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-1004
Practice Address - Country:US
Practice Address - Phone:215-295-4434
Practice Address - Fax:215-295-8778
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000899152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152W00000XEye and Vision Services ProvidersOptometrist
Not Answered152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT72498Medicare UPIN