Paul O Velting, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

046.010793 Issued in IL

Practice address

417 W Jefferson St
Morton, IL 61550-1817

Phone

(309) 263-8611

NPI assigned

Jun 9, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vintage Optical Brian C Sommer OD LTDGroup PAC ID 5597953380, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vintage Optical Brian C Sommer OD LTD

  • Optometrist
  • Morton, IL
  • NPI 1073756490
  Medicare reassignment Care Compare group Authorized official
• Roger W Fitch OD

  • Optometrist
  • Peoria, IL
  • NPI 1558466912
  NPD (past)
• Tina R Thomas OD LTD

  • Optometrist
  • Washington, IL
  • NPI 1629398144
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1093128886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W JEFFERSON ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W JEFFERSON ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501817",
            "telephone_number": "309-263-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELTING",
        "first_name": "PAUL",
        "middle_name": "O",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046.010793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Trombetta
• Barry Ufheil, LCPC
• Eugene D Vaccaro, PSYD
• Vah, LTD
• Roberta Van Zant, DO
• Village of Morton
• Vintage Optical Brian C Sommer OD LTD
• Visiting Doctors Network Inc.
• Visiting Physicians of Peoria Inc
• Jennifer Vissering

• Corneal and Contact Management Optometrist in Morton, IL
• Providers in Morton, IL by specialty
• Corneal and Contact Management Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.