Provider Demographics
NPI:1659506723
Name:HALPERN EYE ASSOCIATES, P. A.
Entity type:Organization
Organization Name:HALPERN EYE ASSOCIATES, P. A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF INSURANCE
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:MOGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-734-5861
Mailing Address - Street 1:885 S GOVERNORS AVE
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:302-734-5861
Mailing Address - Fax:302-734-1921
Practice Address - Street 1:1404 FORREST AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3478
Practice Address - Country:US
Practice Address - Phone:302-346-2020
Practice Address - Fax:302-346-4946
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAROLD HALPERN ODP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-19
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1245251313OtherMEDICARE GROUP NPI
DE1245251313OtherGROUP PRACTICE NPI
DE165950672OtherLOCATION NPI
DE1245251313OtherGROUP PRACTICE NPI