Individual provider Active NPI

Whitney Welder, OD

  • Optometrist
  • Saint Cloud, MN
National Provider Identifier
1982577631
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4025 Issued in MN
Practice address
1545 Northway Dr Ste 120
Saint Cloud, MN 56303-1941
Phone
(320) 253-2441
NPI assigned
Sep 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4025 MN Primary

Addresses

Primary practice location

1545 Northway Dr Ste 120
Saint Cloud, MN 56303-1941

Mailing address

315 11TH St N Ste a
Wahpeton, ND 58075-4101
Phone (701) 403-4513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20260112002257 MN Practitioner - Optometry 3577049386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagan Eye Clinic LLCGroup PAC ID 0345220745, 48 clinicians

Practice addresses (Care Compare)

1545 Northway Dr
Suite 120
Saint Cloud, MN 56303-1941
Phone (320) 253-2441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4025MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagan Eye Clinic LLC Optometrist CurrentSince Nov 23, 2025 Accepting new patients
Eagan Eye Clinic LLC Optometrist CurrentSince Nov 23, 2025 Accepting new patients

Locations

12390 Sherburne Ave
Becker, MN 55308
Phone (763) 244-1700

1545 Northway Dr
Ste 120
Saint Cloud, MN 56303
Phone (320) 253-2441

3930 Cedar Grove Pkwy
Saint Paul, MN 55122
Phone (612) 454-5661

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, 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": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1982577631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 11TH ST N STE A",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754101",
            "telephone_number": "701-403-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 NORTHWAY DR STE 120",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031941",
            "telephone_number": "320-253-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDER",
        "first_name": "WHITNEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "4025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.