Individual provider Active NPI

John N Helmers, OD

  • Optometrist
  • Mandan, ND
National Provider Identifier
1740388941
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
424 Issued in ND
Practice address
113 3Rd Ave NW
Mandan, ND 58554-3129
Phone
(701) 663-2020
Fax
(701) 667-2057
NPI assigned
Sep 20, 2006
Last updated
Oct 25, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 424 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
60316MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20080801000246 ND Practitioner - Optometry 6204900095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Professionals PCGroup PAC ID 9638138993, 4 clinicians

Practice addresses (Care Compare)

113 3Rd Ave NW
Mandan, ND 58554-3129
Phone (701) 663-7434

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
424NDMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: john.helmers@direct.revolutionehr.com

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1740388941",
    "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": {
        "last_name": "HELMERS",
        "first_name": "JOHN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60316",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandan, ND

Sources for this page

Verify at the official NPI Registry.