Individual provider Active NPI

Samuel Ryan Halpern, O. D.

  • Optometrist
  • Dover, DE
National Provider Identifier
1750571162
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I30001321 Issued in DE
Practice address
200 Banning St Ste 130
Dover, DE 19904-3486
Phone
(302) 678-1700
Fax
(302) 678-2330
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I30001321 DE Primary

Addresses

Primary practice location

200 Banning St Ste 130
Dover, DE 19904-3486

Mailing address

200 Banning St
Ste 130
Dover, DE 19904-3486
Phone (302) 450-3025

Other practice location 1

703 N DuPont Blvd
Milford, DE 19963-1003
Phone (302) 499-4449

Other practice location 2

35786 Atlantic Ave Unit 2
Millville, DE 19967-6955
Phone (302) 616-1096

Other practice location 3

1305 Bridgeville Hwy
Seaford, DE 19973-1616
Phone (302) 629-6816

Other identifiers 7

IdentifierTypeStateIssuer
ID2289OtherDEGROUP MEDICARE PTAN - HALPERN MEDICAL SERVICES. LLC
G00016OtherDEMEDICARE GROUP PIN
1346430360OtherDEGROUP NPI - EYE SPECIALISTS OF DELAWARE
G01047OtherDEMEDICARE GROUP PTAN - EYE SPECIALISTS OF DELAWARE
022756H16OtherDEMEDICARE INDIVIDUAL PTAN
I3-0001321OtherDESTATE LICENSE
1245251313OtherGROUP NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shalpern@esd.intellechartdirect.net Direct

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080103000675 DE Practitioner - Optometry 7719067768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halpern Medical Services LLCGroup PAC ID 7911934922, 6 clinicians

Practice addresses (Care Compare)

200 Banning St
Suite 130
Dover, DE 19904-3486
Phone (302) 678-1700

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I30001321DEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Eye Surgeons PA CurrentSince Nov 12, 2013 Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist CurrentSince Mar 31, 2019 Accepting new patients
Halpern Eye Care of Maryland, Inc. Optometrist PastSince Jan 5, 2013 Accepting new patients

Locations

1404 Forrest Ave
Ste 1
Dover, DE 19904
Phone (302) 346-2020

885 S Governors Ave
Dover, DE 19904
Phone (302) 734-5861

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: shalpern@esd.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1750571162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BANNING ST",
            "address_2": "STE 130",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043486",
            "telephone_number": "302-450-3025",
            "fax_number": "302-990-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 130",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043486",
            "telephone_number": "302-678-1700",
            "fax_number": "302-678-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 N DuPont Blvd",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199631003",
            "country_code": "US",
            "telephone_number": "302-499-4449",
            "fax_number": "302-459-3777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35786 Atlantic Ave Unit 2",
            "address_purpose": "LOCATION",
            "city": "Millville",
            "state": "DE",
            "postal_code": "199676955",
            "country_code": "US",
            "telephone_number": "302-616-1096",
            "fax_number": "302-402-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Bridgeville Hwy",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199731616",
            "country_code": "US",
            "telephone_number": "302-629-6816",
            "fax_number": "302-990-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALPERN",
        "first_name": "SAMUEL",
        "middle_name": "RYAN",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I30001321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN - HALPERN MEDICAL SERVICES. LLC",
            "identifier": "ID2289",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "G00016",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI - EYE SPECIALISTS OF DELAWARE",
            "identifier": "1346430360",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN - EYE SPECIALISTS OF DELAWARE",
            "identifier": "G01047",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "022756H16",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "I3-0001321",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1245251313",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shalpern@esd.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Banning St Ste 130",
            "city": "Dover",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199043486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.