Individual
JEFF W WELTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1295 E 151ST ST STE 3, OLATHE, KS 66062-3429
(913) 782-4983
Mailing address
1295 E 151ST ST STE 3, OLATHE, KS 66062-3429
(913) 782-4983
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1043-2
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KA1440
MEDICARE PTAN
—
Enumeration date
07/07/2006
Last updated
07/28/2010
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