Individual
SAMUEL RYAN HALPERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
I30001321
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022756H16
MEDICARE INDIVIDUAL PTAN
DE
01
—
1245251313
GROUP NPI
—
01
—
1346430360
GROUP NPI - EYE SPECIALISTS OF DELAWARE
DE
01
—
G00016
MEDICARE GROUP PIN
DE
01
—
G01047
MEDICARE GROUP PTAN - EYE SPECIALISTS OF DELAWARE
DE
01
—
I3-0001321
STATE LICENSE
DE
01
—
ID2289
GROUP MEDICARE PTAN - HALPERN MEDICAL SERVICES. LLC
DE
Enumeration date
08/01/2007
Last updated
04/17/2025
Update your record
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