Individual provider Active NPI

Brandon Helms, OD

  • Optometrist
  • Azle, TX
National Provider Identifier
1457017923
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009468 Issued in NY
Practice address
158 Industrial Ave
Azle, TX 76020-3135
Phone
(817) 444-1717
NPI assigned
Nov 9, 2021
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009468 NY Primary

Addresses

Primary practice location

158 Industrial Ave
Azle, TX 76020-3135

Mailing address

148 S Front St Apt S241
Farmingdale, NY 11735-2680
Phone (479) 857-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230511000585 TX Practitioner - Optometry 9739545039 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009468NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Vision Care PC Optometrist CurrentSince Mar 29, 2023 Accepting new patients

Locations

158 Industrial Ave
Azle, TX 76020
Phone (817) 444-1717

601 Northwest Pkwy
Ste B
Azle, TX 76020
Phone (817) 444-1717

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1457017923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S FRONT ST APT S241",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352680",
            "telephone_number": "479-857-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 INDUSTRIAL AVE",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203135",
            "telephone_number": "817-444-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMS",
        "first_name": "BRANDON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2024-02-05",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

Verify at the official NPI Registry.