Individual provider Active NPI

Nicholas Helderman, OD

  • Optometrist
  • Lebanon, IN
National Provider Identifier
1629450861
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003910A Issued in IN
Practice address
2705 N Lebanon St Ste 230
Lebanon, IN 46052-8627
Phone
(765) 482-2066
NPI assigned
Jun 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003910A IN Primary

Addresses

Primary practice location

2705 N Lebanon St Ste 230
Lebanon, IN 46052-8627

Mailing address

2705 N Lebanon St Ste 230
Lebanon, IN 46052-8627
Phone (765) 482-2066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150715002309 IN Practitioner - Optometry 0143533455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Indiana LLCGroup PAC ID 5496091316, 82 clinicians

Practice addresses (Care Compare)

2705 N Lebanon St
Suite 230
Lebanon, IN 46052-8627
Phone (765) 482-2066

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Aug 8, 2022 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Aug 8, 2022 Accepting new patients

Locations

14555 Hazel Dell Pkwy
Ste 120
Carmel, IN 46033
Phone (317) 706-2020

13080 Grand Blvd
Ste 110
Carmel, IN 46032
Phone (317) 575-1133

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

6985 W 38th St
Ste 100
Indianapolis, IN 46254
Phone (317) 243-0028

2902 W 86th St
Ste 160
Indianapolis, IN 46268
Phone (317) 228-9163

100 S Creasy Ln
Ste 1530
Lafayette, IN 47905
Phone (765) 447-5083

2705 N Lebanon St
Ste 230
Lebanon, IN 46052
Phone (317) 773-5153

316 W 161st St
Westfield, IN 46074
Phone (317) 867-0555

1501 W Oak St
Ste 100
Zionsville, IN 46077
Phone (317) 873-4020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 2

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1629450861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 N LEBANON ST STE 230",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460528627",
            "telephone_number": "765-482-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 N LEBANON ST STE 230",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460528627",
            "telephone_number": "765-482-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELDERMAN",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003910A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

Verify at the official NPI Registry.