Individual
SAMUEL RYAN HALPERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
200 BANNING ST STE 130, DOVER, DE 19904-3486
(302) 678-1700
(302) 678-2330
Mailing address
200 BANNING ST, STE 130, DOVER, DE 19904-3486
(302) 450-3025
(302) 990-4441
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
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