Individual provider Active NPI

Christine Marie Weldon, O.D.

  • Optometrist
  • Phila, PA
National Provider Identifier
1295768042
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE008528 Issued in PA
Practice address
2139 Cottman Ave
Phila, PA 19149-1122
Phone
(215) 745-1444
Fax
(215) 745-1448
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE008528 PA Primary

Addresses

Primary practice location

2139 Cottman Ave
Phila, PA 19149-1122

Mailing address

2139 Cottman Ave
Philadelphia, PA 19149-1122
Phone (215) 745-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040813000159 PA Practitioner - Optometry 7911970587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Options Cottman IncGroup PAC ID 4183529951, 2 clinicians

Practice addresses (Care Compare)

2139 Cottman Ave
Philadelphia, PA 19149-1122
Phone (215) 745-1444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OE008528PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Options Cottman, Inc. Optometrist CurrentSince Apr 1, 2015 Accepting new patients
Residency Eye Care Optometrist Past Accepting new patients
Jormat Optometric Associates, LLC Optometrist Past Accepting new patients

Locations

2139 Cottman Ave
Philadelphia, PA 19149
Phone (215) 745-1444

Organizations & group practices 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1295768042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491122",
            "telephone_number": "215-745-1444",
            "fax_number": "215-745-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 COTTMAN AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191491122",
            "telephone_number": "215-745-1444",
            "fax_number": "215-745-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDON",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE008528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.