Provider Demographics
NPI:1871020099
Name:SCOTT L HELGESON OD PLLC
Entity Type:Organization
Organization Name:SCOTT L HELGESON OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:L
Authorized Official - Last Name:HELGESON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:956-682-4459
Mailing Address - Street 1:2200 S 10TH ST STE B6
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-5435
Mailing Address - Country:US
Mailing Address - Phone:956-682-4459
Mailing Address - Fax:956-630-4139
Practice Address - Street 1:2200 S 10TH ST STE B6
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-5435
Practice Address - Country:US
Practice Address - Phone:956-682-4459
Practice Address - Fax:956-630-4139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4482TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty