Individual provider Active NPI

Jeffrey B Minkovitz, MD

  • Ophthalmology Physician
  • Wilmington, DE
National Provider Identifier
1457358889
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C1-0004582 Issued in DE
Practice address
1207 N Scott St
Eye Physicians and Surgeons
Wilmington, DE 19806
Phone
(302) 652-3353
Fax
(302) 656-9979
NPI assigned
Jun 30, 2005
Last updated
Aug 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C1-0004582 DE Primary

Addresses

Primary practice location

1207 N Scott St
Eye Physicians and Surgeons
Wilmington, DE 19806

Mailing address

1207 N Scott St
Eye Physicians and Surgeons
Wilmington, DE 19806
Phone (302) 652-3353

Other identifiers 1

IdentifierTypeStateIssuer
0000684701MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207000289 DE Practitioner - Ophthalmology 4082710801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Massachusetts Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons, PAGroup PAC ID 4981780921, 11 clinicians

Practice addresses (Care Compare)

1207 N Scott St
Wilmington, DE 19806-4059
Phone (302) 652-3353

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0004582DEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Jan 1, 2002 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 1, 2002 Accepting new patients
Eye Physicians & Surgeons, PA Ophthalmology CurrentSince Aug 26, 1995 Accepting new patients
Eye Physicians & Surgeons, PA Ophthalmology CurrentSince Aug 26, 1995 Accepting new patients

Locations

314 E Main St
Ste 302
Newark, DE 19711
Phone (302) 292-2020

1207 N Scott St
Wilmington, DE 19806
Phone (302) 428-9900

1207 N Scott St
Ste 1
Wilmington, DE 19806
Phone (302) 652-3353

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

Interoperability endpoints

  • Direct secure messaging: jmink@eyephysicianssurgeons.direct.eyemdemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1457358889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N SCOTT ST",
            "address_2": "EYE PHYSICIANS AND SURGEONS",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19806",
            "telephone_number": "302-652-3353",
            "fax_number": "302-656-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N SCOTT ST",
            "address_2": "EYE PHYSICIANS AND SURGEONS",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19806",
            "telephone_number": "302-652-3353",
            "fax_number": "302-656-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKOVITZ",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "C1-0004582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000684701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.