MEDICARE: DR. ANDREW GEORGE CLINTON HELMAN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	9490811-9934	UT

General Provider Information

NPI Number	:	1104050483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW GEORGE CLINTON HELMAN O.D.

Provider Business Mailing Address
First Line	:	4645 MIDLAND DR
Second Line	:
City	:	WEST HAVEN
State	:	UT
Zip	:	84401-6824
Country	:	US
Telephone Number	:	801-732-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	4645 MIDLAND DR
Second Line	:
City	:	WEST HAVEN
State	:	UT
Zip	:	84401-6824
Country	:	US
Telephone Number	:	801-732-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2009
Last Update Date	:	04/21/2026

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