Provider Demographics
NPI:1396980884
Name:BETTS AND BIDDLE EYE CARE PA
Entity type:Organization
Organization Name:BETTS AND BIDDLE EYE CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMOTT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:302-629-6691
Mailing Address - Street 1:8500 HERRING RUN RD
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-5795
Mailing Address - Country:US
Mailing Address - Phone:302-629-6691
Mailing Address - Fax:302-629-7963
Practice Address - Street 1:8500 HERRING RUN RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-5795
Practice Address - Country:US
Practice Address - Phone:302-629-6691
Practice Address - Fax:302-629-7963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-11
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEI30001197152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE4523347OtherAETNA
DE256256OtherCOVENTRY
DEU20423OtherMID ATLANTIC HEALTH
DE510252R89OtherBLUE CROSS BLUE SHIELD
DE510252212OtherTRICARE
DE1124071899OtherNPI
DE1124071899OtherNPI
DE014949D57Medicare PIN