Individual provider Active NPI

Marc Sacha Helmy, O.D.

  • Optometrist
  • Canton, GA
National Provider Identifier
1013172238
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002479 Issued in GA
Practice address
1455 Riverstone Pkwy
Canton, GA 30114-5627
Phone
(770) 479-0123
Fax
(770) 720-0104
NPI assigned
Jul 28, 2008
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2829 TN
Optometrist 152W00000X OPT002479 GA Primary

Addresses

Primary practice location

1455 Riverstone Pkwy
Canton, GA 30114-5627

Mailing address

3999 Austell Rd
Austell, GA 30106-1100
Phone (770) 941-2323

Other identifiers 3

IdentifierTypeStateIssuer
788583561AMedicaidGA
788583561BMedicaidGA
788583561CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100126000062 GA Practitioner - Optometry 7315089620 Reassigns benefits to 1 organization
Practice locations: Canton, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2829TNMDProfessional Counselor
OPT002479GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care Georgia Optometrist CurrentSince Apr 2, 2024 Accepting new patients
Family First Vision Care Georgia PLLC Optometrist Past Accepting new patients
Eyecontact Inc. Optometrist PastSince Nov 2, 2009 Accepting new patients
Family First Vision Care Georgia Optometrist Past Accepting new patients
B.Dean Mobley, O.D., P.C. Optometrist PastSince Jan 9, 2019 Accepting new patients
TJ Roberts, LLC Optometrist PastSince Oct 1, 2019 Accepting new patients
Mobley Riverdale Eye Clinic Inc Optometrist Past Accepting new patients
Family First Vision Care Georgia PLLC Optometrist Past Accepting new patients
Family First Vision Care Georgia Optometrist Past Accepting new patients
Family First Vision Care Georgia Optometrist Past Accepting new patients
Vision Onsite Optometrist PastSince Sep 15, 2024 Accepting new patients
Clarkson Optometry Georgia Inc Optometrist Past Accepting new patients

Locations

1455 Riverstone Pkwy
Ste 110
Canton, GA 30114
Phone (770) 479-0500

239 Market Place Blvd
Cartersville, GA 30121
Phone (770) 607-1448

890 Dawsonville Hwy
Ste A
Gainesville, GA 30501
Phone (770) 532-4171

1401 Johnson Ferry Rd
Ste 148B
Marietta, GA 30062
Phone (770) 509-8480

10775 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 998-0331

316 S Hamilton Rd
Gahanna, OH 43230

Networks

  • FL HMO C-SNP
  • FL HMO D-SNP
  • FL HMO

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1013172238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061100",
            "telephone_number": "770-941-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 RIVERSTONE PKWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145627",
            "telephone_number": "770-479-0123",
            "fax_number": "770-720-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMY",
        "first_name": "MARC",
        "middle_name": "SACHA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2829",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788583561A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788583561B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788583561C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.