Healthcare Provider Details

I. General information

NPI: 1467504100
Provider Name (Legal Business Name): HELTON VISION ASSOCIATES ,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 LINDBERG AVE
ATMORE AL
36502-3206
US

IV. Provider business mailing address

166 LINDBERG AVE
ATMORE AL
36502-3206
US

V. Phone/Fax

Practice location:
  • Phone: 251-368-8767
  • Fax: 251-368-4565
Mailing address:
  • Phone: 251-368-8767
  • Fax: 251-368-4565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License NumberS486TA041
License Number StateAL

VIII. Authorized Official

Name: DR. DAVID HELTON
Title or Position: PRESIDENT
Credential: O.D.
Phone: 251-368-8767