Provider Demographics
NPI:1487820593
Name:DELBERT WELTMAN MD
Entity Type:Organization
Organization Name:DELBERT WELTMAN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DELBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WELTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-623-5416
Mailing Address - Street 1:910 16TH STREET
Mailing Address - Street 2:SUITE 630
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-2921
Mailing Address - Country:US
Mailing Address - Phone:303-623-5416
Mailing Address - Fax:
Practice Address - Street 1:910 16TH STREET
Practice Address - Street 2:SUITE 630
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-2921
Practice Address - Country:US
Practice Address - Phone:303-623-5416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13769207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
118174OtherEYE MED
CO12028541Medicaid
020590OtherBLOCK VISION
118174OtherEYE MED
CO020590Medicare PIN
CO020590Medicare Oscar/Certification