Provider Demographics
NPI:1871872523
Name:GARNER, HELEN LUU (OD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:LUU
Last Name:GARNER
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 1:5 1/2 MAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:DELHI
Mailing Address - State:NY
Mailing Address - Zip Code:13753-1109
Mailing Address - Country:US
Mailing Address - Phone:607-434-6456
Mailing Address - Fax:607-800-4142
Practice Address - Street 1:5 1/2 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:NY
Practice Address - Zip Code:13753-1109
Practice Address - Country:US
Practice Address - Phone:607-434-6456
Practice Address - Fax:607-800-4142
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008872152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026245530001Medicaid