Joann Licitra Helmus, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 008488 TPA Issued in CA

Practice address

353 2ND St
Davis, CA 95616-4607

Phone

(530) 758-2122

Fax

(530) 758-1448

NPI assigned

Nov 15, 2005

Last updated

Oct 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Helmus Optometry

  • Optometrist
  • Davis, CA
  • NPI 1083816417
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1689656894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 2ND ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164607",
            "telephone_number": "530-758-2122",
            "fax_number": "530-758-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 2ND ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164607",
            "telephone_number": "530-758-2122",
            "fax_number": "530-758-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMUS",
        "first_name": "JOANN",
        "middle_name": "LICITRA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 008488 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0072150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS/BC OF CA",
            "identifier": "ZZZ58352Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TENNESSEE",
            "identifier": "4046062",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Adam Heifetz, DO
• Carol Jean Heim, MFT
• Derrick Javon Helms
• Helmus Optometry
• Helmus Optometry
• Julie Helmus, O.D.
• Mark Robert Helmus, O.D.
• Heidi M Henchell, DO
• Francis Chad Henderson
• Herbert H Henderson, DO

• Optometrist in Davis, CA
• Providers in Davis, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.