Provider Demographics
NPI:1225187404
Name:HELLERSTEIN, LYNN F (OD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:F
Last Name:HELLERSTEIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 E ORCHARD RD
Mailing Address - Street 2:SUITE 175-S
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2528
Mailing Address - Country:US
Mailing Address - Phone:303-850-9499
Mailing Address - Fax:303-850-7032
Practice Address - Street 1:7400 E ORCHARD RD
Practice Address - Street 2:SUITE 175-S
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2528
Practice Address - Country:US
Practice Address - Phone:303-850-9499
Practice Address - Fax:303-850-7032
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO977152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU26671Medicare UPIN
COCF0533Medicare PIN