Organization Active NPI

Matthias Helfrich O.D. Inc

  • Eyewear Supplier
  • Elyria, OH
National Provider Identifier
1013181940
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OH3672 Issued in OH
Legal business name
MATTHIAS HELFRICH O.D. INC
Practice address
1027 E Broad St
Elyria, OH 44035-6303
Phone
(440) 366-6700
Fax
(440) 365-3939
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Dr. Matthias Helfrich, O.D.
Title
President
Phone
(440) 366-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OH3672 OH Primary

Addresses

Primary practice location

1027 E Broad St
Elyria, OH 44035-6303

Mailing address

1027 E Broad St
Elyria, OH 44035-6303
Phone (440) 366-6700

Other identifiers 1

IdentifierTypeStateIssuer
0118438MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930037200 OH DME Supplier - Physician - Optometrist 0042339822 Practice locations: Elyria, OH
O20141122000394 OH Part B Supplier - Clinic/Group Practice 0042339822 Receives reassigned benefits from 2 practitioners
Practice locations: Elyria, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Matthias Helfrich OD Inc1027 E Broad St, Elyria, OH 44035-6303(440) 366-6700 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

1026 E Broad St
Elyria, OH 44035

Practitioners & affiliated clinicians

Practitioners 2

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": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1013181940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356303",
            "telephone_number": "440-366-6700",
            "fax_number": "440-365-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356303",
            "telephone_number": "440-366-6700",
            "fax_number": "440-365-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHIAS HELFRICH O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "HELFRICH",
        "authorized_official_first_name": "MATTHIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-366-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "OH3672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118438",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.