Provider Demographics
NPI:1033159033
Name:HELTON, AMANDA JILL ESSLINGER (OD)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:JILL ESSLINGER
Last Name:HELTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 STATE FARM PKWY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-7181
Mailing Address - Country:US
Mailing Address - Phone:205-943-4600
Mailing Address - Fax:205-943-4688
Practice Address - Street 1:250 STATE FARM PKWY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-7181
Practice Address - Country:US
Practice Address - Phone:205-943-4600
Practice Address - Fax:205-943-4688
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS898TA466152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-10545OtherBC-1979 ALABAMA HWY 157, CULLMAN
AL515-04881OtherBC-250 STATE FARM PKWY, BIRMINGHAM
AL051504886Medicare PIN
410046816OtherRAILROAD MEDICARE
AL510-10573OtherBC-1825 TIN VALLEY CIRCLE, SUITE A, BIRMINGHAM
U77471Medicare UPIN
AL510-10556OtherBC-300 EAST STREET NORTH, SUITE F, TALLADEGA
AL510-10572OtherBC-729 BATTLE STREET EAST, TALLADEGA
ALP00023965OtherRAILROAD MEDICARE UABSO
AL009977400Medicaid
AL510-10555OtherBC-1723 COGSWELL AVENUE, PELL CITY
AL510-10570OtherBC-155 MEDICAL STREET, SNEAD
AL510-10574OtherBC-2603 MOODY PARKWAY, MOODY
AL621856846OtherTRICARE
ALU77471OtherVIVA MEDICARE
AL1033159033Medicare PIN
AL510-10567OtherBC-308 6TH STREET SOUTH, SUITE 105, ONEONTA
AL510-10564OtherBC-425 E 10TH STREET, SUITE C, ANNISTON
AL515-04886OtherBC-2015 RAINBOW DR, GADSDEN
AL51515407OtherBCBS UABSO
ALU77471OtherVIVA UABSO
AL051504886Medicaid
AL1033159033Medicaid
AL22-11009OtherUNITED HEALTHCARE
AL510-10550OtherBC-715 SNOW STREET, OXFORD
AL9921695OtherMEDICAID UABSO
AL51515407Medicare PIN
AL510-10545OtherBC-1979 ALABAMA HWY 157, CULLMAN
AL515-04881OtherBC-250 STATE FARM PKWY, BIRMINGHAM
ALU77471OtherVIVA