Organization Active NPI

Helfrich Family Eye Care, LLC

  • Optometrist
  • Fairview Heights, IL
National Provider Identifier
1134432248
Registry record updated Jul 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008652 Issued in IL
Legal business name
HELFRICH FAMILY EYE CARE, LLC
Practice address
10900 Lincoln TRL
Fairview Heights, IL 62208-2042
Phone
(618) 398-5005
NPI assigned
Jul 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2010

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

Authorized official

Name
Dr. Melissa K Helfrich, O.D.NPI 1760540793
Title
President
Phone
(618) 398-5005

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 MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 046008652 IL Primary

Addresses

Primary practice location

10900 Lincoln TRL
Fairview Heights, IL 62208-2042

Mailing address

10900 Lincoln TRL
Fairview Heights, IL 62208-2042
Phone (618) 398-5005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101203000898 IL Part B Supplier - Clinic/Group Practice 8224225115 Receives reassigned benefits from 2 practitioners
Practice locations: Belleville, IL

National Provider Directory

National Provider Directory

Locations

3917 Frank Scott Pkwy W
Belleville, IL 62223
Phone (618) 744-7555

3030 Frank Scott Pkwy W
Ste 1
Belleville, IL 62223
Phone (618) 233-6100

10900 Lincoln Trl
Fairview Hts, IL 62208
Phone (618) 398-5005

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": "1279411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279411200000",
    "number": "1134432248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 LINCOLN TRL",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082042",
            "telephone_number": "618-398-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 LINCOLN TRL",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082042",
            "telephone_number": "618-398-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELFRICH FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-18",
        "last_updated": "2010-07-18",
        "status": "A",
        "authorized_official_last_name": "HELFRICH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-398-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2010; 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.