Individual provider Active NPI

Eric Weldy

  • Ophthalmology Physician
  • Greensboro, NC
National Provider Identifier
1154854990
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
TP035 Issued in KY
Practice address
1132 N Church St Ste 103
Greensboro, NC 27401-1040
Phone
(336) 369-7100
Fax
(336) 369-7101
NPI assigned
Apr 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X TP035 KY Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 2023-00697 NC
Ophthalmology Physician 207W00000X 55414 KY

Addresses

Primary practice location

1132 N Church St Ste 103
Greensboro, NC 27401-1040

Mailing address

1132 N Church St Ste 103
Greensboro, NC 27401-1040
Phone (336) 369-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531001226 NC Practitioner - Ophthalmology 8022368778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Tennessee, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Retina Specialists PAGroup PAC ID 4981755014, 5 clinicians

Practice addresses (Care Compare)

1132 N Church St
Suite 103
Greensboro, NC 27401-1040
Phone (336) 369-7100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Retina Specialists, P.a. Ophthalmology CurrentSince Jul 6, 2023 Accepting new patients

Locations

1132 N Church St
Ste 103
Greensboro, NC 27401
Phone (336) 369-7100

Organizations & group practices 1

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": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1154854990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 N CHURCH ST STE 103",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011040",
            "telephone_number": "336-369-7100",
            "fax_number": "336-369-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 N CHURCH ST STE 103",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011040",
            "telephone_number": "336-369-7100",
            "fax_number": "336-369-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDY",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-08",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "TP035",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NC",
            "license": "2023-00697",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "55414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.