William J Welder, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ND0534 Issued in ND

Practice address

315 11TH St N
Suite a
Wahpeton, ND 58075-4101

Phone

(701) 642-4090

Fax

(701) 642-9424

NPI assigned

Jul 19, 2006

Last updated

Jun 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Optometry

Education

Southern California College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prairie Vision Center PCGroup PAC ID 0143273284, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prairie Vision Center PC

  • Optometrist
  • Wahpeton, ND
  • NPI 1952383713
  Medicare reassignment Care Compare group NPD Authorized official
• Picken Welder Optometry, P.C.

  • Optometrist
  • Moorhead, MN
  • NPI 1639611791
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1629097332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 11TH ST N",
            "address_2": "SUITE A",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754101",
            "telephone_number": "701-642-4090",
            "fax_number": "701-642-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 11TH ST N",
            "address_2": "SUITE A",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754101",
            "telephone_number": "701-642-4090",
            "fax_number": "701-642-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDER",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "ND0534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND",
            "identifier": "25386",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA MEDICAL ASSISTANCE",
            "identifier": "545318600",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "545318600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4C633WE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60480",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2202014",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P002074083",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "624891032463",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Alan Wasemiller, D.D.S
• Paul S Wasemiller, MD
• Peggy J Wasemiller, OT
• Elizabeth Weisz
• Shelby Weisz
• Edward James Werre, DDS
• White Drug Co of Jamestown Inc (Thrifty White Pharmacy #75)
• Mackenzie Jane Wieser
• Sara Jean Wilson, RN, SANE-A
• Jeffrey Steven Withuski, D.D.S.

• Optometrist in Wahpeton, ND
• Providers in Wahpeton, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.