Provider Demographics
NPI:1427523653
Name:HELLAN EYECARE, LLC
Entity type:Organization
Organization Name:HELLAN EYECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ASINECH
Authorized Official - Middle Name:
Authorized Official - Last Name:HELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-296-4194
Mailing Address - Street 1:18277 W LA MIRADA DR
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-5240
Mailing Address - Country:US
Mailing Address - Phone:954-296-4194
Mailing Address - Fax:
Practice Address - Street 1:13055 W RANCHO SANTA FE BLVD
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-1700
Practice Address - Country:US
Practice Address - Phone:623-535-4215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care