Provider Demographics
NPI:1619752714
Name:HALPHEN LENS CO.
Entity Type:Organization
Organization Name:HALPHEN LENS CO.
Other - Org Name:HALPHEN LENS CO.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:HALPHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-558-4606
Mailing Address - Street 1:4815 NW 79TH AVE STE 11
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5437
Mailing Address - Country:US
Mailing Address - Phone:786-558-4606
Mailing Address - Fax:786-359-4154
Practice Address - Street 1:4815 NW 79TH AVE STE 11
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-5437
Practice Address - Country:US
Practice Address - Phone:786-558-4606
Practice Address - Fax:786-359-4154
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HALPHEN LENS CO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-28
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier