MEDICARE: MATTHEW D. HELSING O.D., P.A.

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	OPC4636	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235528134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATTHEW D. HELSING O.D., P.A.

Provider Business Mailing Address
First Line	:	1108 S DALE MABRY HWY
Second Line	:	SUITE C
City	:	TAMPA
State	:	FL
Zip	:	33629-5007
Country	:	US
Telephone Number	:	813-286-0433
Fax Number	:	813-286-0498

Provider Business Practice Location Address
First Line	:	1108 S DALE MABRY HWY
Second Line	:	SUITE C
City	:	TAMPA
State	:	FL
Zip	:	33629-5007
Country	:	US
Telephone Number	:	813-286-0433
Fax Number	:	813-286-0498

Authorized Official
Title or Position	:	OPTOMETRIST/PRESIDENT
Name	:	DR. MATTHEW DAVID HELSING
Credential	:	O.D.
Telephone Number	:	813-417-7716

Provider Enumeration Date	:	01/15/2015
Last Update Date	:	01/15/2015

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