NPI 1891439261 · live from the CMS NPI Registry
Brian Helmetag, OD
Optometrist in Philadelphia, PA. National Provider Identifier 1891439261, active.
NPI record
| NPI | 1891439261 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1200 W Godfrey Ave, Philadelphia, PA 19141 |
| Practice phone | 215-276-6000 |
| Mailing address | 106 Carter Ln, Camden, DE 19934 |
| Enumerated | April 22, 2022 |
| Last updated | July 19, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OEG003921 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.