Provider Demographics
NPI:1679559744
Name:HALPERN, PAUL DAVID (OD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DAVID
Last Name:HALPERN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:544 HAWS AVE
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-4543
Mailing Address - Country:US
Mailing Address - Phone:610-275-0660
Mailing Address - Fax:610-275-0516
Practice Address - Street 1:544 HAWS AVE.
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401
Practice Address - Country:US
Practice Address - Phone:610-275-0660
Practice Address - Fax:610-275-0516
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000105152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0637220001OtherDURABLE MEDICAL EQUIPMENT
PA1031149OtherKEYSTONE MERCY HEALTH PLA
PA285801OtherCARPENTERS H & W
PA0048903000OtherKEYSTONE HEALTH PLAN EAST
PA3010OtherAETNA
PA0048903000OtherAMERICHOICE
PA442580097OtherRAILROAD MEDICARE
PAOEG000105OtherVISION BENEFITS AMERICA
PA0048903000OtherINDEPENDANCE BS KEYSTONE
PA11054OtherSPECTERA
PA0048903000OtherBC/BS 65 SPECIAL
PA390138OtherNATIONAL VISION ADMIN
PA232124299OtherVISION SERVICE PLAN
PA285801OtherHIGHMARK BLUE SHIELD
PA35415OtherHEALTH PARTNERS
PA232124299OtherTRICARE
PA30103OtherDAVIS VISION PLAN
0048903000OtherB.S. PERSONAL CHOICE
PA2151796000OtherBCBS PERSONAL CHOICE
PA285801Medicare UPIN
PA3010OtherAETNA
PA0637220001Medicare NSC
PA285801OtherCARPENTERS H & W