Provider Demographics
NPI:1992828750
Name:WELTMAN, DEBRA ELLYN (OD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:ELLYN
Last Name:WELTMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 KING FARM BLVD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5979
Mailing Address - Country:US
Mailing Address - Phone:301-208-8638
Mailing Address - Fax:301-869-3172
Practice Address - Street 1:800 KING FARM BLVD
Practice Address - Street 2:SUITE 135
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5979
Practice Address - Country:US
Practice Address - Phone:301-208-8638
Practice Address - Fax:301-869-3172
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001526152WC0802X
NYTUV006668152WC0802X
MDTA1928152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management