Organization Active NPI

Eye Physicians & Surgeons, PA

  • Ophthalmology Physician
  • Wilmington, DE
National Provider Identifier
1972695435
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE PHYSICIANS & SURGEONS, PA
Practice address
1207 N Scott St
Wilmington, DE 19806-4059
Phone
(302) 652-3353
Fax
(302) 656-9979
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Tom Corcoran
Title
Office Administrator
Phone
(302) 652-3353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X DE Primary

Addresses

Primary practice location

1207 N Scott St
Wilmington, DE 19806-4059

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0000162502MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080331000443 DE Part B Supplier - Clinic/Group Practice 4981780921 Receives reassigned benefits from 14 practitioners
Practice locations: Newark, DE; Wilmington, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D1097271Eye Physicians and Surgeons1207 N Scott St, Wilmington, DE 19806Certificate of waiverMar 22, 2027

National Provider Directory

National Provider Directory

Locations

2006 Foulk Rd
Wilmington, DE 19810
Phone (302) 529-8783

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

103 Chesapeake Blvd
Ste C
Elkton, MD 21921
Phone (410) 392-6133

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1972695435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N SCOTT ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064059",
            "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",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064059",
            "telephone_number": "302-652-3353",
            "fax_number": "302-656-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS & SURGEONS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "302-652-3353"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000162502",
            "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 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.