Welton, Timothy Hershel

Welton, Timothy Hershel is an individual health care provider with primary practice located at 303 W Lincoln Ave Ste 120, Anaheim CA 92805-2936. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Welton, Timothy Hershel can be contacted via phone (714) 535-8404.

Contact Information

Primary practice address
303 W Lincoln Ave Ste 120 Anaheim CA 92805-2936
Fax: (714) 687-9848
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10177 TPL California

Profile Details

NPI number 1679560767
LBN Legal business name Welton, Timothy Hershel
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 8th, 2007 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679560767 NPPES
California MEDICAID SD0101770

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