Provider Demographics
NPI:1548507973
Name:SURGICAL EYE ASSOCIATES OF DELAWARE, LLC
Entity type:Organization
Organization Name:SURGICAL EYE ASSOCIATES OF DELAWARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:R
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-598-8777
Mailing Address - Street 1:4102 OGLETOWN STANTON RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4181
Mailing Address - Country:US
Mailing Address - Phone:302-454-8800
Mailing Address - Fax:302-454-8801
Practice Address - Street 1:4102 OGLETOWN STANTON RD
Practice Address - Street 2:SUITE 1
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4181
Practice Address - Country:US
Practice Address - Phone:302-454-8800
Practice Address - Fax:302-454-8801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-04
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty