Provider Demographics
NPI:1255330296
Name:HELMS, DONALD BENTON (OD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:BENTON
Last Name:HELMS
Suffix:
Gender:M
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:PO BOX 188
Mailing Address - Street 2:102 4TH ST.
Mailing Address - City:BLADENBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28320-0188
Mailing Address - Country:US
Mailing Address - Phone:910-863-4324
Mailing Address - Fax:910-863-3771
Practice Address - Street 1:102 4TH ST.
Practice Address - Street 2:
Practice Address - City:BLADENBORO
Practice Address - State:NC
Practice Address - Zip Code:28320-0188
Practice Address - Country:US
Practice Address - Phone:910-863-4324
Practice Address - Fax:910-863-3771
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0966152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8909382Medicaid
NC246378Medicare ID - Type Unspecified
NC8909382Medicaid
NCT64918Medicare UPIN