Provider Demographics
NPI:1629067640
Name:WELTON, ARIC R (OD)
Entity Type:Individual
Prefix:
First Name:ARIC
Middle Name:R
Last Name:WELTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 EDLOE ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-6520
Mailing Address - Country:US
Mailing Address - Phone:713-797-1500
Mailing Address - Fax:713-797-1150
Practice Address - Street 1:3405 EDLOE ST
Practice Address - Street 2:SUITE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6520
Practice Address - Country:US
Practice Address - Phone:713-797-1500
Practice Address - Fax:713-797-1150
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06115TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80486QOtherBLUE CROSS BLUE SHIELD
TX80486QOtherBLUE CROSS BLUE SHIELD
TXU86356Medicare UPIN