Organization Active NPI

Eyecare Professionals PC

  • Optometrist
  • Mandan, ND
National Provider Identifier
1508964867
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYECARE PROFESSIONALS PC
Practice address
113 3Rd Ave NW
Mandan, ND 58554-3129
Phone
(701) 663-2020
Fax
(701) 667-2057
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. James A Helmers, ODNPI 1407954613
Title
Doctor
Phone
(701) 663-2020

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 SINGLE SPECIALTY GROUP 152W00000X ND Primary

Addresses

Primary practice location

113 3Rd Ave NW
Mandan, ND 58554-3129

Mailing address

113 3Rd Ave NW
Mandan, ND 58554-3129
Phone (701) 663-2020

Other identifiers 1

IdentifierTypeStateIssuer
60524MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041004000786 ND Part B Supplier - Clinic/Group Practice 9638138993 Receives reassigned benefits from 4 practitioners
Practice locations: Mandan, ND
O20100930075851 ND DME Supplier - Physician - Optometrist 9638138993 Practice locations: Mandan, ND

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D2155371Eyecare Professionals, PC113 3Rd Ave NW, Mandan, ND 58554Certificate of waiverSep 26, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eyecare Professioanls113 3Rd Ave NW, Mandan, ND 58554-3129(701) 663-2020 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory

Locations

104 12th Ave NW
Unit 1
Hazen, ND 58545
Phone (701) 748-5220

113 3rd Ave NW
Mandan, ND 58554
Phone (701) 663-2020

1137 Border Ln
Washburn, ND 58577

Practitioners & affiliated clinicians

Practitioners 4

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1508964867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 3RD AVE NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543129",
            "telephone_number": "701-663-2020",
            "fax_number": "701-667-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 3RD AVE NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543129",
            "telephone_number": "701-663-2020",
            "fax_number": "701-667-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE PROFESSIONALS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "HELMERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "701-663-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60524",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandan, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.