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Contact Information

MARK R HELMUS, OD
353 2ND ST
DAVIS, CA95616
 Phone: 530-758-2122
 Fax: 530-758-1448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARK R HELMUS · (Male)

NPI # 1558343905
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/18/2005
Last updated 10/28/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # OPT 00007215 TPA
  • CA License # OPT7215TPA
  • CA Medicaid SD0072150
  • CA Other ZZZ58352Z BS OF CA
  • TN Other 4046062 BC/BS OF TENNESSEE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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