Provider Demographics
NPI:1841675444
Name:NEW CASTLE EYE ASSOCIATES,LLC
Entity type:Organization
Organization Name:NEW CASTLE EYE ASSOCIATES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:BESSIE
Authorized Official - Last Name:CLUFF
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:302-378-8818
Mailing Address - Street 1:166 S DUPONT HWY UNIT 400
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-4165
Mailing Address - Country:US
Mailing Address - Phone:302-276-0170
Mailing Address - Fax:
Practice Address - Street 1:166 S DUPONT HWY
Practice Address - Street 2:UNIT400
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-4168
Practice Address - Country:US
Practice Address - Phone:302-598-8459
Practice Address - Fax:302-378-2371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-23
Last Update Date:2022-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDE 1235152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE250507128Medicaid