Provider Demographics
NPI:1821062936
Name:HALPERN, I JOEL (O D)
Entity Type:Individual
Prefix:
First Name:I
Middle Name:JOEL
Last Name:HALPERN
Suffix:
Gender:M
Credentials:O D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:885 S GOVERNORS AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-4158
Mailing Address - Country:US
Mailing Address - Phone:302-450-3025
Mailing Address - Fax:302-990-4441
Practice Address - Street 1:703 N DUPONT BLVD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1003
Practice Address - Country:US
Practice Address - Phone:302-499-4449
Practice Address - Fax:302-459-3777
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE130001137152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000161322Medicaid
DE161525705OtherBCBSDE
DE0000161322Medicaid
DE161525705OtherBCBSDE