Kenneth W Welsh, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

AZ0282 Issued in AZ

Practice address

101 S la Canada Dr Ste 69
Green Valley, AZ 85614-2665

Phone

(520) 625-5657

Fax

(520) 625-5659

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Alvernon Optical, Inc.

  • Eyewear Supplier
  • Green Valley, AZ
  • NPI 1194842591
  NPD (past)
• Holliday Optometry, L.L.C

  • Optometrist
  • Green Valley, AZ
  • NPI 1205146172
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184735672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111958",
            "telephone_number": "520-327-6215",
            "fax_number": "520-327-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S LA CANADA DR STE 69",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142665",
            "telephone_number": "520-625-5657",
            "fax_number": "520-625-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "KENNETH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ0282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036782",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ward
• Katarzyna Wegner, FNP
• Kayleen Weinandt
• Jeffrey I Weisel, MD
• Christina Maria Weissauer - Condon, M.D.
• Thomas Lee White, RPH
• Barry C Wilkinson, DVM
• Hunter Willer
• Rebecca Willer
• William L. Phelps II MD PC

• Optometrist in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.