Individual provider Active NPI

Aric R Welton, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1629067640
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06115TG Issued in TX
Practice address
3405 Edloe St
Suite 300
Houston, TX 77027-6520
Phone
(713) 797-1500
Fax
(713) 797-1150
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 06115TG TX Primary

Addresses

Primary practice location

3405 Edloe St
Suite 300
Houston, TX 77027-6520

Mailing address

3405 Edloe St
Suite 300
Houston, TX 77027-6520
Phone (713) 797-1500

Other identifiers 1

IdentifierTypeStateIssuer
80486QOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080724000775 TX Practitioner - Optometry 0941373872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marc R. Sanders, M.D., P.a.Group PAC ID 1850337320, 5 clinicians

Practice addresses (Care Compare)

3405 Edloe St
Suite 300
Houston, TX 77027-6513
Phone (713) 797-1500

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06115TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marc R. Sanders, M.D., P.a. Optometrist CurrentSince Jul 12, 2001 Accepting new patients
Marc R Sanders MD PA Optometrist PastSince Jul 12, 2001 Accepting new patients

Locations

3405 Edloe St
Ste 300
Houston, TX 77027
Phone (713) 797-1500

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1629067640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 EDLOE ST",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276520",
            "telephone_number": "713-797-1500",
            "fax_number": "713-797-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 EDLOE ST",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276520",
            "telephone_number": "713-797-1500",
            "fax_number": "713-797-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTON",
        "first_name": "ARIC",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06115TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80486Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.