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NPI Code Detail

MEDICARE: MR. KENT DWIGHT HELMICK O.D.

MEDICARE:  MR. KENT DWIGHT HELMICK  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
1152W00000XOptometrist229NV

General Provider Information

NPI Number : 1134214703
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KENT DWIGHT HELMICK O.D.
Provider Business Mailing Address
First Line : 3460 S MARYLAND PKWY
Second Line : SUITE 180
City : LAS VEGAS
State : NV
Zip : 89169-3036
Country : US
Telephone Number : 702-697-0136
Fax Number : 702-697-0138
Provider Business Practice Location Address
First Line : 3460 S MARYLAND PKWY
Second Line : SUITE 180
City : LAS VEGAS
State : NV
Zip : 89169-3036
Country : US
Telephone Number : 702-697-0136
Fax Number : 702-697-0138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 12/22/2016

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Directions to “ MR. KENT DWIGHT HELMICK O.D.” Practice Location

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