NPIMap

Organization Active NPI

Helmus Optometry

  • Optometrist
  • Davis, CA
National Provider Identifier
1922442680
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 7215 TPA Issued in CA
Legal business name
HELMUS OPTOMETRY
Practice address
353 2ND St
Davis, CA 95616-4607
Phone
(530) 758-2122
Fax
(530) 758-1448
NPI assigned
Apr 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Mr. Sasha W Benton
Title
Billing Specialist
Phone
(530) 758-2122

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X CA13792TLG CA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPT 7215 TPA CA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPT 8488 TPA CA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPT 15337 TLG CA

Addresses

Primary practice location

353 2ND St
Davis, CA 95616-4607

Mailing address

353 2ND St
Davis, CA 95616-4607
Phone (530) 758-2122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150929000519 CA Part B Supplier - Clinic/Group Practice 9032427927 Receives reassigned benefits from 8 practitioners
Practice locations: Davis, CA

National Provider Directory

National Provider Directory

Locations

353 2nd St
Davis, CA 95616
Phone (530) 758-2122

Practitioners & affiliated clinicians

Practitioners 8

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": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1922442680",
    "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": {
        "organization_name": "HELMUS OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "SASHA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "530-758-2122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA13792TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 7215 TPA",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 8488 TPA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 15337 TLG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.