Individual provider Active NPI

C Robert Welshans, OD

  • Optometrist
  • Parkersburg, WV
National Provider Identifier
1124047964
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
838OD Issued in WV
Practice address
2014 Dudley Ave
Parkersburg, WV 26101-3405
Phone
(304) 422-1841
Fax
(304) 865-0592
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 838OD WV Primary

Addresses

Primary practice location

2014 Dudley Ave
Parkersburg, WV 26101-3405

Mailing address

2014 Dudley Ave
Parkersburg, WV 26101-3405
Phone (304) 422-1841

Other identifiers 1

IdentifierTypeStateIssuer
0149331000MedicaidWV

Other names 1

  • Dr. Charles Robert Welshans Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20110810000006 WV Practitioner - Optometry 3971537648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of West Virginia PLLCGroup PAC ID 6709170434, 22 clinicians

Practice addresses (Care Compare)

2014 Dudley Ave
Parkersburg, WV 26101-3405
Phone (304) 422-1841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of West Virginia, PLLC Optometrist CurrentSince Feb 13, 2019 Accepting new patients
Myeyedr Optometry of West Virginia, PLLC Optometrist CurrentSince Feb 13, 2019 Accepting new patients
Myeyedr Optometry of West Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of West Virginia, PLLC Optometrist Past Accepting new patients

Locations

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

100 W Main St
Ste A
Buckhannon, WV 26201
Phone (304) 472-1235

838 Somerset Blvd
Charles Town, WV 25414
Phone (304) 725-4828

2014 Dudley Ave
Parkersburg, WV 26101
Phone (304) 420-5787

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1124047964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 DUDLEY AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013405",
            "telephone_number": "304-422-1841",
            "fax_number": "304-865-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 DUDLEY AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013405",
            "telephone_number": "304-422-1841",
            "fax_number": "304-865-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSHANS",
        "first_name": "C",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "838OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149331000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "WELSHANS",
            "middle_name": "ROBERT",
            "prefix": "DR.",
            "suffix": "JR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.