NPIMap

Organization Active NPI

Hershel B Welton, OD

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1558570515
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HERSHEL B WELTON, OD
Practice address
303 W Lincoln Ave
Ste 120
Anaheim, CA 92805-2936
Phone
(714) 535-8404
Fax
(714) 687-9848
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hershel B Welton, O.D.NPI 1902894959
Title
Owner
Phone
(714) 535-8404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

303 W Lincoln Ave
Ste 120
Anaheim, CA 92805-2936

Mailing address

303 W Lincoln Ave
Ste 120
Anaheim, CA 92805-2936
Phone (714) 535-8404

Other identifiers 2

IdentifierTypeStateIssuer
SD0101770MedicaidCA
SD0046560MedicaidCA

Other names 1

  • Welton Optometry Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558570515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W LINCOLN AVE",
            "address_2": "STE 120",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052936",
            "telephone_number": "714-535-8404",
            "fax_number": "714-687-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W LINCOLN AVE",
            "address_2": "STE 120",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052936",
            "telephone_number": "714-535-8404",
            "fax_number": "714-687-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERSHEL B WELTON, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELTON",
        "authorized_official_first_name": "HERSHEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-535-8404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0101770",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0046560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welton Optometry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.