Active NPI
Alex Helsley, OD
- Optometrist
- Muldrow, OK
National Provider Identifier
1073244455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2022024935
- Practice address
- 471748 E 1140 Rd
Muldrow, OK 74948-7594 - Phone
- (918) 208-4207
- NPI assigned
- Jun 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3172 | OK | |
| Optometrist | 152W00000X | 2851 | AR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | AR | ||
| Optometrist | 152W00000X | 2022024935 | MO | Primary |
Addresses
Primary practice location
471748 E 1140 Rd
Muldrow, OK 74948-7594
Mailing address
471748 E 1140 Rd
Muldrow, OK 74948-7594
Phone (918) 208-4207
Other practice location 1
3013 Winghaven Blvd
O Fallon, MO 63368-3600
Phone (636) 561-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3172 | OK | MD | Professional Counselor |
| 2851 | AR | MD | Optometrist |
| 2022024935 | MO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1073244455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471748 E 1140 RD",
"city": "MULDROW",
"state": "OK",
"postal_code": "749487594",
"telephone_number": "918-208-4207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471748 E 1140 RD",
"city": "MULDROW",
"state": "OK",
"postal_code": "749487594",
"telephone_number": "918-208-4207"
}
],
"practiceLocations": [
{
"address_1": "3013 Winghaven Blvd",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "MO",
"postal_code": "633683600",
"country_code": "US",
"telephone_number": "636-561-3937",
"fax_number": "636-561-4068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HELSLEY",
"first_name": "ALEX",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-17",
"last_updated": "2022-11-29",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "3172",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2851",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2022024935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muldrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.