Provider Demographics
NPI:1821176793
Name:HELFER, JAMES ALAN (OD LLC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ALAN
Last Name:HELFER
Suffix:
Gender:M
Credentials:OD LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:THORNVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:73076-9348
Mailing Address - Country:US
Mailing Address - Phone:740-928-4330
Mailing Address - Fax:
Practice Address - Street 1:6674 WINCHESTER BLVD
Practice Address - Street 2:WALMART VISION CENTER
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110
Practice Address - Country:US
Practice Address - Phone:614-833-6831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3862152W00000X
OHT238152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152W00000XEye and Vision Services ProvidersOptometrist
Not Answered152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0757908Medicaid
OH0757908Medicaid