WALTER WOODHULL MERRIAM MD
NPI 1912014200
Ophthalmology in Syracuse, NY

Q: What is Walter Merriam's NPI number?

The NPI number for Walter Merriam is 1912014200. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Walter Merriam's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Walter Merriam was last updated on April 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 24, 2006

5792 WIDEWATERS PKWY STE 101, SYRACUSE, NY 13214(315) 422-4412(315) 422-4432 Get Directions Write a Review

NPPES record last updated: April 27, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Walter Woodhull Merriam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTER WOODHULL MERRIAM MD (NPI 1912014200) is an individual ophthalmology provider in Syracuse, New York, licensed in New York (114080) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1912014200

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameWALTER WOODHULL MERRIAMCredential: MD

Location Address5792 WIDEWATERS PKWY STE 101Syracuse, NY 13214-1847

Mailing Address5792 Widewaters Pkwy Ste 101Syracuse, NY 13214-1847 · (315) 422-4412 · Fax (315) 422-4432

Phone(315) 422-4412

Fax(315) 422-4432

Sole ProprietorYes

Enumeration DateAugust 24, 2006

Last NPPES UpdateApril 27, 2019

✔ NPI 1912014200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NY · 114080

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

5792 WIDEWATERS PKWY STE 101, Syracuse, NY 13214

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Other Identifiers 1

Medicaid00550032NY

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES TEITELBAUM MD

Ophthalmology