Provider Demographics
NPI:1952141681
Name:EYE PHYSICIANS & SURGEONS, PA
Entity type:Organization
Organization Name:EYE PHYSICIANS & SURGEONS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:CORCORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-652-3353
Mailing Address - Street 1:1207 N SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4059
Mailing Address - Country:US
Mailing Address - Phone:302-652-3353
Mailing Address - Fax:302-656-9979
Practice Address - Street 1:314 E MAIN ST STE 302
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-7181
Practice Address - Country:US
Practice Address - Phone:302-292-2020
Practice Address - Fax:302-737-6908
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EYE PHYSICIANS AND SURGEONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty