Provider Demographics
NPI:1477598852
Name:DELAWARE EYE INSTITUTE, P.A.
Entity Type:Organization
Organization Name:DELAWARE EYE INSTITUTE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:UFFELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-645-2300
Mailing Address - Street 1:18791 JOHN J WILLIAMS HWY
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-4401
Mailing Address - Country:US
Mailing Address - Phone:302-645-2300
Mailing Address - Fax:302-645-7214
Practice Address - Street 1:18791 JOHN J WILLIAMS HWY
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-4401
Practice Address - Country:US
Practice Address - Phone:302-645-2300
Practice Address - Fax:302-645-7214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE065016974207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty