Provider Demographics
NPI:1588752802
Name:MEIER, WALTER C (MD)
Entity type:Individual
Prefix:
First Name:WALTER
Middle Name:C
Last Name:MEIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23018
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29925-3018
Mailing Address - Country:US
Mailing Address - Phone:843-785-2525
Mailing Address - Fax:843-785-5394
Practice Address - Street 1:220 PEMBROKE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-6200
Practice Address - Country:US
Practice Address - Phone:843-785-2525
Practice Address - Fax:843-785-5394
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17693207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC176936Medicaid
SC6830Medicare ID - Type Unspecified
SC176936Medicaid