Active NPI
Lynnwood A Walmer, MD
- Ophthalmology Physician
- Williamsport, PA
National Provider Identifier
1730176355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD019693E
- Practice address
- 435 River Ave
Williamsport, PA 17701-3722 - Phone
- (570) 326-8070
- NPI assigned
- Sep 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD019693E | PA | Primary |
Addresses
Primary practice location
435 River Ave
Williamsport, PA 17701-3722
Mailing address
137 JPM Rd
Lewisburg, PA 17837-9313
Phone (570) 523-3937
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153474 | Other | BLUE SHIELD | |
| 18658 | Other | GEISINGER | |
| 823962 | Other | FIRST PRIORITY | |
| 50082461 | Other | CAPITAL BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296086400000",
"number": "1730176355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 JPM RD",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379313",
"telephone_number": "570-523-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 RIVER AVE",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013722",
"telephone_number": "570-326-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALMER",
"first_name": "LYNNWOOD",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2011-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD019693E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "153474",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "18658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "823962",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE",
"identifier": "50082461",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.