Individual provider Active NPI

Helen Paulin, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1245359595
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1035 Issued in AZ
Practice address
4933 E Ray Rd
#103
Phoenix, AZ 85044-6420
Phone
(480) 940-5388
Fax
(480) 940-8247
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1035 AZ Primary

Addresses

Primary practice location

4933 E Ray Rd
#103
Phoenix, AZ 85044-6420

Mailing address

11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040816000673 AZ Practitioner - Optometry 0244203552 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1035AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Sowash OD & Associates PC Optometrist CurrentSince Nov 15, 2015 Accepting new patients
Visionworks Inc Past Accepting new patients
Visionworks, Inc Past Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC Past Accepting new patients

Locations

917 N Promenade Pkwy
Ste 101
Casa Grande, AZ 85194
Phone (520) 836-8946

3111 W Chandler Blvd
Ste 1124
Chandler, AZ 85226
Phone (480) 782-9380

3431 W Frye Rd
Ste 1
Chandler, AZ 85226
Phone (480) 782-9380

4650 N US Highway 89
Ste C2
Flagstaff, AZ 86004
Phone (928) 522-8424

2156 E Williams Field Rd
Ste 104
Gilbert, AZ 85295
Phone (480) 814-2583

2156 E Williams Field Rd
Gilbert, AZ 85295
Phone (480) 814-2583

7700 W Arrowhead Towne Ctr
Ste 2130
Glendale, AZ 85308
Phone (623) 486-2020

6555 E Southern Ave
Ste 2410
Mesa, AZ 85206
Phone (480) 854-3468

1938 S Dobson Rd
Ste 1
Mesa, AZ 85202
Phone (480) 894-2020

7611 W Thomas Rd
Ste B018
Phoenix, AZ 85033
Phone (623) 873-2511

4933 E Ray Rd
Ste 103
Phoenix, AZ 85044
Phone (480) 940-5388

5870 E Broadway Blvd
Ste 506
Tucson, AZ 85711
Phone (520) 745-0229

4631 N Oracle Rd
Ste 175
Tucson, AZ 85705
Phone (520) 408-1200

175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245359595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6803",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 E RAY RD",
            "address_2": "#103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446420",
            "telephone_number": "480-940-5388",
            "fax_number": "480-940-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULIN",
        "first_name": "HELEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.