Individual provider Active NPI

Timothy Hershel Welton, O.D.

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1679560767
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10177 TPL Issued in CA
Practice address
303 W Lincoln Ave
Ste 120
Anaheim, CA 92805-2936
Phone
(714) 535-8404
Fax
(714) 687-9848
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10177 TPL CA 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 1

IdentifierTypeStateIssuer
SD0101770MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10177 TPLCAMDOptometrist
10177CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clarifeye Family Optometry Optometrist PastSince Jul 30, 2018 Accepting new patients

Organizations & group practices 1

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679560767",
    "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": {
        "last_name": "WELTON",
        "first_name": "TIMOTHY",
        "middle_name": "HERSHEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10177 TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0101770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 13, 2026; 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.