Organization Active NPI

Heltsley Eye Care, PLLC

  • Optometrist
  • Hopkinsville, KY
National Provider Identifier
1982883161
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1265 DT Issued in KY
Legal business name
HELTSLEY EYE CARE, PLLC
Practice address
1620 S Main St
Hopkinsville, KY 42240-1990
Phone
(270) 886-6316
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
John Heltsley, O.D.NPI 1649378613
Title
Member
Phone
(270) 886-6316

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 1265 DT KY Primary

Addresses

Primary practice location

1620 S Main St
Hopkinsville, KY 42240-1990

Mailing address

PO Box 786
Hopkinsville, KY 42241-0786
Phone (270) 886-6316

Other identifiers 1

IdentifierTypeStateIssuer
77902294MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140828000608 KY DME Supplier - Physician - Optometrist 6608094982 Practice locations: Hopkinsville, KY
O20140908001860 KY Part B Supplier - Clinic/Group Practice 6608094982 Receives reassigned benefits from 1 practitioner
Practice locations: Hopkinsville, KY

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Heltsley Eye Care, PLLC1620 S Main St, Hopkinsville, KY 42240-1990(270) 886-6316 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Aug 21, 2014

National Provider Directory

National Provider Directory

Locations

1620 S Main St
Hopkinsville, KY 42240
Phone (270) 886-6316

Practitioners & affiliated clinicians

Practitioners 1

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": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1982883161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422410786",
            "telephone_number": "270-886-6316",
            "fax_number": "270-886-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S MAIN ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401990",
            "telephone_number": "270-886-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELTSLEY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "HELTSLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "270-886-6316",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1265 DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77902294",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.