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General NPI Number Information
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NPI Number | 1467504100
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Entity Type | Organization
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Legal Business Name | HELTON VISION ASSOCIATES ,P.C.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 166 LINDBERG AVE
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City | ATMORE
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State | AL
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Zip | 36502-3206
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Country | US
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Telephone | 251-368-8767
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Fax | 251-368-4565
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Provider Business Mailing Address
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Address Line | 166 LINDBERG AVE
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City | ATMORE
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State | AL
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Zip | 36502-3206
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Country | US
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Telephone | 251-368-8767
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Fax | 251-368-4565
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID HELTON
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Credential | O.D.
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Telephone | 251-368-8767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | S486TA041
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License Number State | AL
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