Organization Active NPI

Brandywine Eye Center PA

  • Eyewear Supplier
  • Newark, DE
National Provider Identifier
1447559992
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
C10002810 Issued in DE
Legal business name
BRANDYWINE EYE CENTER PA
Practice address
2600 Glasgow Ave
Suite 206
Newark, DE 19702-4773
Phone
(302) 832-0700
Fax
(302) 836-3940
NPI assigned
Mar 23, 2011
Organization subpart
Yes
Parent organization
BRANDYWINE EYE CENTER PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Authorized official

Name
Dr. Richard Leslie Sherry, MD
Title
Owner
Phone
(302) 475-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X C10002810 DE Primary

Addresses

Primary practice location

2600 Glasgow Ave
Suite 206
Newark, DE 19702-4773

Mailing address

2500 Grubb Rd
Suite 234
Wilmington, DE 19810-4799
Phone (302) 475-6500

National Provider Directory

National Provider Directory
Part of
Brandywine Eye Center P

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1447559992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GRUBB RD",
            "address_2": "SUITE 234",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104799",
            "telephone_number": "302-475-6500",
            "fax_number": "302-475-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE",
            "address_2": "SUITE 206",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024773",
            "telephone_number": "302-832-0700",
            "fax_number": "302-836-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE EYE CENTER PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRANDYWINE EYE CENTER PA",
        "enumeration_date": "2011-03-23",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "SHERRY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-475-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "DE",
            "license": "C10002810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.