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Individual
DR. MARK ROBERT HELMUS
Active
Individual
DR. MARK ROBERT HELMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT 00007215 TPA
CA
152W00000X
Optometrist
Primary
OPT7215TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4046062
BC/BS OF TENNESSEE
TN
05
—
SD0072150
—
CA
01
—
ZZZ58352Z
BS OF CA
CA
Enumeration date
11/18/2005
Last updated
10/28/2011
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