Stephen M Welcker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

854094T Issued in LA

Practice address

400 Russell Ave BLDG 41
Belle Chasse, LA 70037-1006

Phone

(504) 678-7970

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

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.

• Caplan Eye Clinic a Professional Medical Corporation

  • Specialist
  • Metairie, LA
  • NPI 1982705075
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346301876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RUSSELL AVE BLDG 41",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371006",
            "telephone_number": "504-678-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RUSSELL AVE BLDG 41",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371006",
            "telephone_number": "504-678-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCKER",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "854094AT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "854094T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Community Medical Clinic
• True Nurse Transport and Services LLC
• John J Trumbaturi III, LCSW, ACSW, C-SSWS
• Derek John Vangerwen, DPT
• Hope Lynne Walls, PLPC
• Carol Lee Whitmore, PHYSICAL THERAPIST
• Brittany L Williams
• Meagan Navarre Williams, PT, DPT
• Ryan Joseph Wolfe, MD
• Scot Wright

• Optometrist in Belle Chasse, LA
• Providers in Belle Chasse, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.