BRANDYWINE EYE CENTER PA (NPI# 1447559992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447559992 |
| Entity Type | Organization |
| Organization Name | BRANDYWINE EYE CENTER PA |
| Practice Address |
2600 Glasgow Ave Suite 206 Newark DE 19702-4773 |
| Mailing Address |
2500 Grubb Rd Suite 234 Wilmington DE 19810-4799 |
| Practice Telephone | 3028320700 |
| Practice Fax Number | 3028363940 |
| Mailing Telephone | 3024756500 |
| Mailing Fax Number | 3024759528 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2012-07-05 |
| Authorized Official Name | DR. RICHARD LESLIE SHERRY (OWNER) |
| Authorized Official Telephone | 3024756500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | BRANDYWINE EYE CENTER PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | C10002810 | DE | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033418579 | Brandywine Eye Center Pa | Eyewear Supplier (Equipment, not the service) | 2500 Grubb Rd, Suite 234, Wilmington, DE 19810-4799 | 2011-03-23 |
| Street Address |
2600 GLASGOW AVE SUITE 206 |
| City | NEWARK |
| State | DE |
| Zip Code | 19702-4773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657102 | Christopher A Bowens | Internal Medicine | 2600 Glasgow Ave, Suite 108, Newark, DE 19702 | 2005-05-27 |
| 1710445226 | Morgan Lynn Barnhart | Specialist/Technologist | 2600 Glasgow Ave, Newark, DE 19702-4773 | 2019-03-05 |
| 1306263199 | Lisa Ann Shotyk | Nurse Practitioner | 2600 Glasgow Ave, Newark, DE 19702-4773 | 2014-03-18 |
| 1740529577 | Fataneh M Ziari, Md, Pa | Pediatrics | 2600 Glasgow Ave, Suite 212, Newark, DE 19702-4773 | 2013-02-14 |
| 1124370010 | Samantha M Gray | Nurse Practitioner | 2600 Glasgow Ave, Suite 124, Newark, DE 19702-4773 | 2012-10-03 |
| 1164786687 | Craig Smucker, Md Orthopaedics, PC | Orthopaedic Surgery | 2600 Glasgow Ave, Suite 106, Newark, DE 19702-4773 | 2012-06-29 |
| 1851651855 | Matthew Michael Byrne | Physical Therapist | 2600 Glasgow Ave, Suite 105, Newark, DE 19702-4773 | 2012-05-23 |
| 1265705719 | Ati Holdings, LLC | Durable Medical Equipment & Medical Supplies | 2600 Glasgow Ave, Suite 105, Newark, DE 19702-4773 | 2012-02-14 |
| 1023250024 | Clinical Cardiology Specialists, LLC | Specialist | 2600 Glasgow Ave, Suite 108, Newark, DE 19702-4773 | 2009-04-06 |
| 1811133341 | Premier Pediatrics, LLC | Pediatrics | 2600 Glasgow Ave, Suite 213, Newark, DE 19702-4773 | 2009-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487103305 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 3100 Fashion Center, Newark, DE 19702-0000 | 2016-10-04 |
| 1922296292 | Ironbound Optical | Eyewear Supplier (Equipment, not the service) | 2 Ferry St, Newark, NJ 07105-1465 | 2007-10-11 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1700931821 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 709 Christiana Mall, Ste #1775, Newark, DE 19702-3213 | 2007-01-25 |
| 1932253390 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1115 New Park Mall, Newark, CA 94560-5246 | 2007-01-23 |
| 1972666907 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 300 Ctr Rd, Newark, DE 19702-3227 | 2006-12-19 |
| 1881770063 | Vision Plus of De P A | Eyewear Supplier (Equipment, not the service) | 100 Christiana Medical Ctr, Newark, DE 19702-1697 | 2006-10-31 |
| 1407953656 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 100 Pencader Plaza, Newark, DE 19713 | 2006-09-20 |
| 1215941612 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 606 Christiana Mall, Newark, DE 19702 | 2006-07-28 |
| 1417554957 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 100 Pencader Plz, Newark, DE 19713-3408 | 2020-10-07 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.