Provider Demographics
NPI:1932238789
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 1:201 STADIUM ST
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-2899
Practice Address - Country:US
Practice Address - Phone:302-653-3400
Practice Address - Fax:302-653-3461
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAROLD HALPERN ODP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-05
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1245251313OtherGROUP NPI
DE1932238789OtherLOCATION NPI
DE0000950845Medicaid
DE1245251313OtherGROUP NPI
DE1932238789OtherLOCATION NPI