Provider Demographics
NPI:1235528134
Name:MATTHEW D. HELSING O.D., P.A.
Entity Type:Organization
Organization Name:MATTHEW D. HELSING O.D., P.A.
Other - Org Name:FAMILY EYECARE OF WESTSHORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HELSING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:813-417-7716
Mailing Address - Street 1:1108 S DALE MABRY HWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-5007
Mailing Address - Country:US
Mailing Address - Phone:813-286-0433
Mailing Address - Fax:813-286-0498
Practice Address - Street 1:1108 S DALE MABRY HWY
Practice Address - Street 2:SUITE C
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-5007
Practice Address - Country:US
Practice Address - Phone:813-286-0433
Practice Address - Fax:813-286-0498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4636152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004027500Medicaid
FI578ZMedicare PIN