Individual provider Active NPI

Damon Eric Welch, M.D.

  • Ophthalmology Physician
  • Winter Haven, FL
National Provider Identifier
1316029382
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME98047 Issued in FL
Practice address
407 Avenue K SE
Winter Haven, FL 33880-4126
Phone
(863) 294-3504
Fax
(863) 299-0096
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME98047 FL Primary

Addresses

Primary practice location

407 Avenue K SE
Winter Haven, FL 33880-4126

Mailing address

407 Avenue K SE
Winter Haven, FL 33880-4126
Phone (863) 294-3504

Other identifiers 1

IdentifierTypeStateIssuer
000649800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090622000400 FL Practitioner - Ophthalmology 7214088822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Patterson Rd
Haines City, FL 33844-7840
Phone (863) 421-4280

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1037
Melanoma (skin cancer) excision26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists of Mid Florida PA Ophthalmology CurrentSince Jul 1, 2009 Accepting new patients
Eye Specialists of Mid Florida, PA CurrentSince Jul 1, 2009 Accepting new patients
Eye Specialists of Mid Florida, PA Ophthalmology Past Accepting new patients

Locations

100 Patterson Rd
Haines City, FL 33844
Phone (863) 294-3504

5032 US 27 N
Sebring, FL 33870
Phone (863) 382-3900

407 Avenue K SE
Winter Haven, FL 33880
Phone (863) 294-3504

409 Avenue K SE
Winter Haven, FL 33880
Phone (863) 294-3504

Interoperability endpoints

  • Direct secure messaging: damon.welch.1@18417.direct.athenahealth.com
  • Direct secure messaging: damon.welch@esmf.direct.eyemdemr.com

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1316029382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804126",
            "telephone_number": "863-294-3504",
            "fax_number": "863-299-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804126",
            "telephone_number": "863-294-3504",
            "fax_number": "863-299-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "DAMON",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME98047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000649800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.