Provider Demographics
NPI:1467504100
Name:HELTON VISION ASSOCIATES ,P.C.
Entity Type:Organization
Organization Name:HELTON VISION ASSOCIATES ,P.C.
Other - Org Name:MONROEVILLE EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HELTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:251-368-8767
Mailing Address - Street 1:166 LINDBERG AVE
Mailing Address - Street 2:
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36502-3206
Mailing Address - Country:US
Mailing Address - Phone:251-368-8767
Mailing Address - Fax:251-368-4565
Practice Address - Street 1:166 LINDBERG AVE
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-3206
Practice Address - Country:US
Practice Address - Phone:251-368-8767
Practice Address - Fax:251-368-4565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
152W00000X
ALS486TA041302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0129860002Medicare NSC
AL0129860001Medicare NSC