Individual provider Active NPI

Thomas Edward Welage, O.D.

  • Optometrist
  • Greensburg, IN
National Provider Identifier
1255488524
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002769 Issued in IN
Practice address
946 E Main St
Greensburg, IN 47240-2305
Phone
(812) 663-8405
Fax
(812) 663-9764
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002769 IN Primary

Addresses

Primary practice location

946 E Main St
Greensburg, IN 47240-2305

Mailing address

721 N Lincoln St
Greensburg, IN 47240-1328
Phone (812) 663-8405

Other identifiers 1

IdentifierTypeStateIssuer
200062520MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100909001043 IN Practitioner - Optometry 0749305050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Thomas E. Welage, O.D., P.C.Group PAC ID 0941333207, 3 clinicians

Practice addresses (Care Compare)

721 N Lincoln St
Greensburg, IN 47240-1328
Phone (812) 663-8405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002769INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas E. Welage, O.D., P.C. Optometrist CurrentSince Jan 1, 1998 Accepting new patients
Major Hospital Past Accepting new patients

Locations

946 E Main St
Greensburg, IN 47240
Phone (812) 663-8405

721 N Lincoln St
Greensburg, IN 47240
Phone (812) 663-8405

Organizations & group practices 2

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1255488524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N LINCOLN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401328",
            "telephone_number": "812-663-8405",
            "fax_number": "812-663-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 E MAIN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472402305",
            "telephone_number": "812-663-8405",
            "fax_number": "812-663-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELAGE",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200062520",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, IN

Sources for this page

Verify at the official NPI Registry.