CMS-1500 Box 24J / 33a • NPI
1164435301
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207W00000X (CMS 18)
Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)
Box 32 Service Location & ZIP+4
29 HOSPITAL HILL RD, SUITE #1100, SHARON, CT, 06069
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1164435301 (WALTER GERARD DONNELLY, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1164435301 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | WALTER GERARD DONNELLY, MD |
| Plain-English Specialty | Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) NUCC Code: 207W00000X (Ophthalmology) |
| Certifying / Licensing Body | American Board of Ophthalmology (ABO) |
| Practice Location Address | 29 HOSPITAL HILL RD, SUITE #1100, SHARON, CT, 06069 |
| Practice Telephone / Fax | Tel: (860) 364-5646 | Fax: (860) 364-5265 |
| Administrative Mailing Address | PO BOX 679, SHARON, CT, 06069-0679 |
| Enumeration & Last Sync | Enumerated: 2006-08-15 | CMS Record Updated: 2007-07-08 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207W00000X)
What Does Taxonomy Code 207W00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207W00000X translates to:
"Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (WALTER GERARD DONNELLY, MD)
Typical CPT / Diagnostic Procedures:- Phacoemulsification Cataract Extraction with Intraocular Lens (IOL) Implantation (CPT 66984)
- Optical Coherence Tomography (OCT) of Retina & Optic Nerve (CPT 92134)
- Intravitreal Anti-VEGF Injections for Macular Degeneration & Diabetic Retinopathy
- Comprehensive Slit-Lamp Biomicroscopy & Tonometry Glaucoma Screening
- Prostaglandin Analog Eye Drops (Latanoprost, Bimatoprost) & Timolol (Glaucoma)
- Moxifloxacin & Ciprofloxacin Ophthalmic Solutions
- Prednisolone Acetate & Ketorolac Post-Cataract Ophthalmic Drops
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207W00000X — OphthalmologyPlain English: Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) | State: CT | License: 018261 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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