Provider Demographics
NPI:1851487235
Name:HALPIN, JEFFREY N (OD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:N
Last Name:HALPIN
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 1:350 PARK FOREST SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-2710
Mailing Address - Country:US
Mailing Address - Phone:214-902-9777
Mailing Address - Fax:214-902-8810
Practice Address - Street 1:350 PARK FOREST SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-2710
Practice Address - Country:US
Practice Address - Phone:214-902-9777
Practice Address - Fax:214-902-8810
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01948TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
I13637Medicare UPIN
00E01AMedicare ID - Type Unspecified