Organization Active NPI

Delaware Eye M.D'S Associates

  • Ophthalmology Physician
  • Wilmington, DE
National Provider Identifier
1811967490
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DELAWARE EYE M.D'S ASSOCIATES
Practice address
2055 Limestone Rd
Suite 102
Wilmington, DE 19808-5536
Phone
(302) 992-0430
Fax
(302) 992-0461
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Dorothy Marion Moore, M.D.
Title
Owner
Phone
(302) 992-0430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2055 Limestone Rd
Suite 102
Wilmington, DE 19808-5536

Mailing address

2055 Limestone Rd
Suite 102
Wilmington, DE 19808-5536
Phone (302) 992-0430

Other identifiers 1

IdentifierTypeStateIssuer
0000973802MedicaidDE

National Provider Directory

National Provider Directory

Locations

71 Omega Dr
Bldg 2
Newark, DE 19713

2055 Limestone Rd
Ste 102
Wilmington, DE 19808
Phone (302) 992-0430

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1811967490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 LIMESTONE RD",
            "address_2": "SUITE 102",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085536",
            "telephone_number": "302-992-0430",
            "fax_number": "302-992-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 LIMESTONE RD",
            "address_2": "SUITE 102",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085536",
            "telephone_number": "302-992-0430",
            "fax_number": "302-992-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE EYE M.D'S ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-992-0430",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000973802",
            "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 24, 2020; 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.