Provider Demographics
NPI:1629467709
Name:JOSEPH HELISEK OD & ASSOCIATES P.C.
Entity Type:Organization
Organization Name:JOSEPH HELISEK OD & ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:HELISEK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:248-762-2701
Mailing Address - Street 1:PO BOX 3353
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48333-3353
Mailing Address - Country:US
Mailing Address - Phone:248-762-2701
Mailing Address - Fax:
Practice Address - Street 1:27793 NOVI RD
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-3423
Practice Address - Country:US
Practice Address - Phone:248-697-5620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004010152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty