Provider Demographics
NPI:1851480826
Name:HELFRICH, MATTHIAS (OD , INC)
Entity Type:Individual
Prefix:
First Name:MATTHIAS
Middle Name:
Last Name:HELFRICH
Suffix:
Gender:M
Credentials:OD , INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-6303
Mailing Address - Country:US
Mailing Address - Phone:440-366-6700
Mailing Address - Fax:440-365-3939
Practice Address - Street 1:1027 E BROAD ST
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-6303
Practice Address - Country:US
Practice Address - Phone:440-366-6700
Practice Address - Fax:440-365-3939
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3672152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0118438Medicaid
OHT47933Medicare UPIN
OH0539652Medicare PIN