Individual provider Active NPI

Jeff W Weltmer, O.D.

  • Optometrist
  • Olathe, KS
National Provider Identifier
1932131174
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1043-2 Issued in KS
Practice address
1295 E 151St St Ste 3
Olathe, KS 66062-3429
Phone
(913) 782-4983
NPI assigned
Jul 7, 2006
Last updated
Jul 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 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 1043-2 KS Primary

Addresses

Primary practice location

1295 E 151St St Ste 3
Olathe, KS 66062-3429

Mailing address

1295 E 151St St Ste 3
Olathe, KS 66062-3429
Phone (913) 782-4983

Other identifiers 1

IdentifierTypeStateIssuer
KA1440OtherMEDICARE PTAN

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
1043-2KSMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1932131174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 E 151ST ST STE 3",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623429",
            "telephone_number": "913-782-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 E 151ST ST STE 3",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623429",
            "telephone_number": "913-782-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTMER",
        "first_name": "JEFF",
        "middle_name": "W",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1043-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA1440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.