Provider Demographics
NPI:1154854990
Name:WELDY, ERIC
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:WELDY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1132 N CHURCH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1040
Mailing Address - Country:US
Mailing Address - Phone:336-369-7100
Mailing Address - Fax:336-369-7101
Practice Address - Street 1:1132 N CHURCH ST STE 103
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1040
Practice Address - Country:US
Practice Address - Phone:336-369-7100
Practice Address - Fax:336-369-7101
Is Sole Proprietor?:No
Enumeration Date:2017-04-08
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTP035207W00000X
NC2023-00697207WX0107X
KY55414207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist