Healthcare Provider Details

I. General information

NPI: 1962400168
Provider Name (Legal Business Name): EYE CARE & SURGERY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 ELECTRIC RD
ROANOKE VA
24018-1621
US

IV. Provider business mailing address

1960 ELECTRIC RD
ROANOKE VA
24018-1621
US

V. Phone/Fax

Practice location:
  • Phone: 540-772-7171
  • Fax: 540-774-8299
Mailing address:
  • Phone: 540-772-7171
  • Fax: 540-774-8299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number StateVA

VIII. Authorized Official

Name: MR. LEE THOMAS HELMS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 540-772-7171