Provider Demographics
NPI:1457639676
Name:WELCH, LINDSEY NICOLE (OD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:NICOLE
Last Name:WELCH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:LINDSEY
Other - Middle Name:NICOLE
Other - Last Name:MOLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:430 POTTSTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18073-1423
Mailing Address - Country:US
Mailing Address - Phone:215-679-3500
Mailing Address - Fax:215-679-3096
Practice Address - Street 1:430 POTTSTOWN AVE
Practice Address - Street 2:
Practice Address - City:PENNSBURG
Practice Address - State:PA
Practice Address - Zip Code:18073-1423
Practice Address - Country:US
Practice Address - Phone:215-679-3500
Practice Address - Fax:215-679-3096
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002503152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist