Provider Demographics
NPI:1629643606
Name:ALEMU, HELEN SIRAK (OD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:SIRAK
Last Name:ALEMU
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 1:5125 STONE RIDGE RD S APT C
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-4154
Mailing Address - Country:US
Mailing Address - Phone:614-772-4105
Mailing Address - Fax:
Practice Address - Street 1:735 DOMINION SQ SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-2479
Practice Address - Country:US
Practice Address - Phone:540-423-6601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-23
Last Update Date:2021-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618003007152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist