Surgical Eye Associates Of Delaware, Llc is a medicare enrolled "Ophthalmology" provider in Newark, Delaware. Their current practice location is
4102 Ogletown Stanton Rd, Suite 1, Newark, Delaware. You can reach out to their office (for appointments etc.) via phone at
(302) 454-8800.
Surgical Eye Associates Of Delaware, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Surgical Eye Associates Of Delaware, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1548507973.
Healthcare Provider's Profile
| Full Name | Surgical Eye Associates Of Delaware, Llc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 4102 Ogletown Stanton Rd, Newark, Delaware |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548507973
- Provider Enumeration Date: 01/04/2013
- Last Update Date: 02/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 2062657174
- Enrollment ID: O20130320000478
Medical Identifiers
Medical identifiers for Surgical Eye Associates Of Delaware, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548507973 | NPI | - | NPPES |
| 200048035 | Medicaid | DE | |
| 200048036 | Medicaid | DE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Surgical Eye Associates Of Delaware, Llc acts as a billing entity for following providers:
| Provider Name | John M Otto |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1992783716
PECOS PAC ID: 1951339019
Enrollment ID: I20050729000718 |
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| Provider Name | Jeffrey R. Boyd |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1255498366
PECOS PAC ID: 1456454735
Enrollment ID: I20070306000590 |
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| Provider Name | Paul C Mitchell |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1043232754
PECOS PAC ID: 6507944782
Enrollment ID: I20080429000480 |
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| Provider Name | Andrew Pei-wei Shyu |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1275066599
PECOS PAC ID: 2163778713
Enrollment ID: I20210524002756 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Surgical Eye Associates Of Delaware, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Surgical Eye Associates Of Delaware, Llc
4102 Ogletown Stanton Rd Ste 1,
Newark, DE 19713-4183
Ph: (302) 454-8800 | Surgical Eye Associates Of Delaware, Llc
4102 Ogletown Stanton Rd, Suite 1,
Newark, DE 19713-4181
Ph: (302) 454-8800 |
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