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Marc Sacha Helmy

Optometrist

Eye and Vision Services Providers

1455 Riverstone Pkwy, Canton, GA 30114-5627

PECOS Enrollment

This provider is enrolled in PECOS as MARC HELMY.

Based on the most recent information from CMS, provider Marc Sacha Helmy is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 10 days ago.

Profile Details

Provider ID
1013172238
Provider Type
Individual
Full Name
Helmy, Marc Sacha
Credential
O.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
7/28/2008
Last Updated
9/12/2023

Contact Information

Practice Location

1455 Riverstone Pkwy, Canton, GA 30114-5627

(770) 479-0123

(770) 720-0104

Mailing Location

3999 Austell Rd, Austell, GA 30106-1100

(770) 941-2323

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 152W00000X Primary	Description Optometrist Eye and Vision Services Providers	License OPT002479 Georgia
Code 152W00000X	Description Optometrist Eye and Vision Services Providers	License 2829 Tennessee

Provider Identifiers

ID	Description	Issuer
ID 788583561A	Description Medicaid	Issuer Unlisted Georgia
ID 788583561B	Description Medicaid	Issuer Unlisted Georgia
ID 788583561C	Description Medicaid	Issuer Unlisted Georgia

Marc Sacha Helmy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

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Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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