Organization Active NPI

Eric L Helwig OD PC

  • Optometrist
  • La Fayette, GA
National Provider Identifier
1003902859
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2171 Issued in GA
Legal business name
ERIC L HELWIG OD PC
Practice address
1581 N Main St
La Fayette, GA 30728-6436
Phone
(706) 638-0880
Fax
(706) 638-0481
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Dr. Eric Lee Helwig, ODNPI 1467557520
Title
Owner
Phone
(706) 638-0880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2171 GA Primary

Addresses

Primary practice location

1581 N Main St
La Fayette, GA 30728-6436

Mailing address

1581 N Main St
La Fayette, GA 30728-6436
Phone (706) 638-0880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070628000208 GA Part B Supplier - Clinic/Group Practice 7911006135 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, GA; Trion, GA

National Provider Directory

National Provider Directory

Locations

1581 N Main St
La Fayette, GA 30728
Phone (706) 638-0880

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1003902859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 N MAIN ST",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307286436",
            "telephone_number": "706-638-0880",
            "fax_number": "706-638-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 N MAIN ST",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307286436",
            "telephone_number": "706-638-0880",
            "fax_number": "706-638-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC L HELWIG OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "HELWIG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-638-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Fayette, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.