Provider Demographics
NPI:1265662761
Name:LEWIS, HELEN ANN (OD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:ANN
Last Name:LEWIS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:H.
Other - Middle Name:ANNIE
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:2634 GOLDENSTRAND DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-8075
Mailing Address - Country:US
Mailing Address - Phone:614-795-0683
Mailing Address - Fax:
Practice Address - Street 1:338 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1280
Practice Address - Country:US
Practice Address - Phone:614-292-1113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist