Active NPI
Dr Melissa Walters Optometrist PLLC
- Optometrist
- Ithaca, NY
National Provider Identifier
1114587946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DR MELISSA WALTERS OPTOMETRIST PLLC
- Practice address
- 2230 N Triphammer Rd
Ithaca, NY 14850-6513 - Phone
- (607) 391-0343
- Fax
- (607) 241-9951
- NPI assigned
- Jun 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melissa Marie Walters, OD
- Title
- Optometrist
- Phone
- (607) 333-1633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2230 N Triphammer Rd
Ithaca, NY 14850-6513
Mailing address
123 Woolf LN
Ithaca, NY 14850-9551
Phone (607) 333-1633
National Provider Directory
National Provider DirectoryLocations
2230 N Triphammer Rd
Ithaca, NY 14850
Phone (607) 266-5300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564099200000",
"number": "1114587946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 WOOLF LN",
"city": "ITHACA",
"state": "NY",
"postal_code": "148509551",
"telephone_number": "607-333-1633",
"fax_number": "607-241-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 N TRIPHAMMER RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148506513",
"telephone_number": "607-391-0343",
"fax_number": "607-241-9951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR MELISSA WALTERS OPTOMETRIST PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-14",
"last_updated": "2019-07-26",
"status": "A",
"authorized_official_last_name": "WALTERS",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "607-333-1633",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.