NPIMap

Organization Active NPI

Ophthalmic Partners of Delaware, PA

  • Ophthalmology Physician
  • Wilmington, DE
National Provider Identifier
1750355715
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMIC PARTNERS OF DELAWARE, PA
Practice address
3501 Silverside Rd
Wilmington, DE 19810-4910
Phone
(302) 479-3937
Fax
(302) 454-8810
NPI assigned
Feb 15, 2006
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Julia Lee, JD
Title
Executive Director
Phone
(610) 660-0446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

3501 Silverside Rd
Wilmington, DE 19810-4910

Mailing address

40 Monument Rd
Ste 104
Bala Cynwyd, PA 19004-1700
Phone (610) 660-0446

Other identifiers 2

IdentifierTypeStateIssuer
102030226MedicaidPA
0000494502MedicaidDE

National Provider Directory

National Provider Directory

Locations

1941 Limestone Rd
Wilmington, DE 19808
Phone (302) 479-3937

40 Monument Rd
Ste 104
Bala Cynwyd, PA 19004

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1750355715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MONUMENT RD",
            "address_2": "STE 104",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041700",
            "telephone_number": "610-660-0446",
            "fax_number": "484-434-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104910",
            "telephone_number": "302-479-3937",
            "fax_number": "302-454-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC PARTNERS OF DELAWARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-660-0446",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102030226",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000494502",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.