Provider Demographics
NPI:1164609756
Name:DONALD BENTON HELMS
Entity Type:Organization
Organization Name:DONALD BENTON HELMS
Other - Org Name:BLADENBORO EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:BENTON
Authorized Official - Last Name:HELMS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:910-863-4324
Mailing Address - Street 1:102 FOURTH STREET
Mailing Address - Street 2:
Mailing Address - City:BLADENBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28320
Mailing Address - Country:US
Mailing Address - Phone:910-863-4324
Mailing Address - Fax:910-863-3771
Practice Address - Street 1:102 FOURTH STREET
Practice Address - Street 2:
Practice Address - City:BLADENBORO
Practice Address - State:NC
Practice Address - Zip Code:28320
Practice Address - Country:US
Practice Address - Phone:910-863-4324
Practice Address - Fax:910-863-3771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0966332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0256140001Medicare NSC