Organization Active NPI

Millsboro Eye Care LLC

Doing business as Delaware Eye Clinics

  • Ophthalmology Physician
  • Milton, DE
National Provider Identifier
1366550600
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MILLSBORO EYE CARE LLC
Doing business as
Delaware Eye Clinics
Practice address
28322 Lewes Georgetown Hwy
Milton, DE 19968-3115
Phone
(302) 684-2020
Fax
(302) 684-2021
NPI assigned
Aug 28, 2006
Last updated
May 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edward S Jaoude, MDNPI 1619969235
Title
MD
Phone
(302) 684-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

28322 Lewes Georgetown Hwy
Milton, DE 19968-3115

Mailing address

PO Box 58
Nassau, DE 19969-0058
Phone (302) 684-2020

Other identifiers 1

IdentifierTypeStateIssuer
1000622562MedicaidDE

Other names 1

  • Delaware Eye Clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080825000298 DE Part B Supplier - Clinic/Group Practice 1557436615 Receives reassigned benefits from 6 practitioners
Practice locations: Milton, DE
O20100930093352 DE DME Supplier - Physician - Ophthalmology 1557436615 Practice locations: Milton, DE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1366550600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "NASSAU",
            "state": "DE",
            "postal_code": "199690058",
            "telephone_number": "302-684-2020",
            "fax_number": "302-684-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28322 LEWES GEORGETOWN HWY",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199683115",
            "telephone_number": "302-684-2020",
            "fax_number": "302-684-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLSBORO EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "JAOUDE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "302-684-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000622562",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaware Eye Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milton, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.