Provider Demographics
NPI:1639271166
Name:FILANDRO, JEFFREY S (OD)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:S
Last Name:FILANDRO
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 1:514 WAKE FOREST DR
Mailing Address - Street 2:ACADEMY HILL
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-1197
Mailing Address - Country:US
Mailing Address - Phone:302-266-7110
Mailing Address - Fax:302-378-2371
Practice Address - Street 1:401 E MAIN ST STE A
Practice Address - Street 2:ASHLEY PLAZA
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1491
Practice Address - Country:US
Practice Address - Phone:302-378-8818
Practice Address - Fax:302-378-2371
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDE 1240152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT6180002OtherCFBCBSNASCO
MD115934OtherEYEMED
MD49888005OtherDAVIS
MD82061505OtherCAREFIRST BCBSMD
MD49888005OtherDAVIS
DEU73463Medicare UPIN
MD1299510001Medicare NSC