Individual provider Active NPI

Andrew George Clinton Helman, O.D.

  • Optometrist
  • West Haven, UT
National Provider Identifier
1104050483
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9490811-9934 Issued in UT
Practice address
4645 Midland Dr
West Haven, UT 84401-6824
Phone
(801) 732-8200
NPI assigned
May 14, 2009
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9490811-9934 UT Primary

Addresses

Primary practice location

4645 Midland Dr
West Haven, UT 84401-6824

Mailing address

4645 Midland Dr
West Haven, UT 84401-6824
Phone (801) 732-8200

Other practice location 1

228 E Winchester St
Murray, UT 84107-7305
Phone (801) 263-9125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20151014003065 UT Practitioner - Optometry 4981924255 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Standard Optical Co Optometrist Current Accepting new patients
Kow Holdings LLC Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Standard Optical Company Optometrist CurrentSince Sep 5, 2015 Accepting new patients
Standard Optical Co Optometrist CurrentSince Sep 5, 2015 Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Legacy Vision Group Optometrist PastSince May 1, 2011 Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Legacy Vision Group Dba Elevation Eyeworks Optometrist PastSince May 16, 2021 Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients

Locations

140 W 5th S
Bountiful, UT 84010
Phone (801) 292-0479

345 W 600 S
Ste 118
Heber City, UT 84032

4878 S Highland Dr
Holladay, UT 84117
Phone (801) 272-8861

1438 E Main St
Ste 4
Lehi, UT 84043
Phone (801) 753-7909

5289 S State St
Murray, UT 84107
Phone (801) 506-1111

4283 Harrison Blvd
Ogden, UT 84403
Phone (801) 479-5060

1455 S State St
Orem, UT 84097
Phone (801) 226-3044

1200 Towne Centre Blvd
Spc 1060
Provo, UT 84601
Phone (801) 373-2254

5421 S 1900 W
Roy, UT 84067
Phone (801) 825-9703

2124 S Highland Dr
Salt Lake City, UT 84106
Phone (801) 487-4138

228 E Winchester St
Salt Lake City, UT 84107
Phone (801) 263-9125

834 E 9400 S
Sandy, UT 84094
Phone (801) 553-9330

250 Red Cliffs Dr
St George, UT 84790
Phone (435) 674-2020

3754 W 5400 S
Taylorsville, UT 84129
Phone (801) 964-9911

966 N Main St
Tooele, UT 84074
Phone (435) 882-4815

1656 W 9000 S
West Jordan, UT 84088
Phone (801) 255-5454

1901 W Parkway Blvd
West Valley City, UT 84119
Phone (801) 886-2020

Networks

  • UT PPO D-SNP
  • UT PPO

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1104050483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 MIDLAND DR",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844016824",
            "telephone_number": "801-732-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 MIDLAND DR",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844016824",
            "telephone_number": "801-732-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 E Winchester St",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841077305",
            "country_code": "US",
            "telephone_number": "801-263-9125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELMAN",
        "first_name": "ANDREW",
        "middle_name": "GEORGE CLINTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-14",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "9490811-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, UT

Sources for this page

Verify at the official NPI Registry.