Individual
RONALD P WELKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
256 MAIN ST, CONNEAUT, OH 44030-2652
(440) 593-6205
(440) 593-6205
Mailing address
241B STATE ST, CONNEAUT, OH 44030-2659
(440) 593-6205
(440) 593-6205
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4091
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363227
NVA #
—
01
—
OP2070
EYEMED PROVIDER #
—
Enumeration date
05/03/2007
Last updated
07/10/2009
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