Provider Demographics
NPI:1982577631
Name:WELDER, WHITNEY (OD)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:WELDER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 11TH ST N STE A
Mailing Address - Street 2:
Mailing Address - City:WAHPETON
Mailing Address - State:ND
Mailing Address - Zip Code:58075-4101
Mailing Address - Country:US
Mailing Address - Phone:701-403-4513
Mailing Address - Fax:
Practice Address - Street 1:315 11TH ST N STE A
Practice Address - Street 2:
Practice Address - City:WAHPETON
Practice Address - State:ND
Practice Address - Zip Code:58075-4101
Practice Address - Country:US
Practice Address - Phone:701-403-4513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND837152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist