Individual provider Active NPI

Donald Benton Helms, O.D

  • Optometrist
  • Bladenboro, NC
National Provider Identifier
1255330296
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0966 Issued in NC
Practice address
102 4TH St.
Bladenboro, NC 28320-0188
Phone
(910) 863-4324
Fax
(910) 863-3771
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0966 NC Primary

Addresses

Primary practice location

102 4TH St.
Bladenboro, NC 28320-0188

Mailing address

PO Box 188
102 4TH St.
Bladenboro, NC 28320-0188
Phone (910) 863-4324

Other identifiers 1

IdentifierTypeStateIssuer
8909382MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090724000715 NC Practitioner - Optometry 1456404300 Practice locations: Bladenboro, NC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
966NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1255330296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "address_2": "102 4TH ST.",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283200188",
            "telephone_number": "910-863-4324",
            "fax_number": "910-863-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 4TH ST.",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283200188",
            "telephone_number": "910-863-4324",
            "fax_number": "910-863-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMS",
        "first_name": "DONALD",
        "middle_name": "BENTON",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909382",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bladenboro, NC

Sources for this page

Verify at the official NPI Registry.