Active NPI
Clark T Welsh, O.D.
- Optometrist
- San Francisco, CA
National Provider Identifier
1891842548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9121
- Practice address
- 1635 Divisadero St Ste 400
San Francisco, CA 94115-3043 - Phone
- (415) 833-2020
- Fax
- (415) 833-2609
- NPI assigned
- Jan 4, 2007
- Last updated
- Jan 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9121 | CA | Primary |
Addresses
Primary practice location
1635 Divisadero St Ste 400
San Francisco, CA 94115-3043
Mailing address
1635 Divisadero St Ste 400
San Francisco, CA 94115-3043
Phone (415) 833-2020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearle Visioncare, Inc | Past | Accepting new patients | |
| Pearle Visioncare, Inc | Past | Accepting new patients | |
| Pearle Visioncare Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1891842548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 DIVISADERO ST STE 400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153043",
"telephone_number": "415-833-2020",
"fax_number": "415-833-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 DIVISADERO ST STE 400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153043",
"telephone_number": "415-833-2020",
"fax_number": "415-833-2609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELSH",
"first_name": "CLARK",
"middle_name": "T",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9121",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1635 Divisadero St",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941153036",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.