Justin Waller OD PLLC
NPI 1265238323 · Optometrist · Orlando, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Waller OD PLLC is a Optometrist organization in Orlando, FL (NPI 1265238323).
Provider details
- NPI number
- 1265238323
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Justin Waller, Owner(863) 529-3119
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Advanced Optical
Registry dates
- Enumerated
- 2025-02-20
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Frequently asked questions
- What is Justin Waller OD PLLC's NPI number?
- Justin Waller OD PLLC's National Provider Identifier (NPI) is 1265238323, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Justin Waller OD PLLC?
- Justin Waller OD PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Justin Waller OD PLLC located?
- Justin Waller OD PLLC's practice location on file with NPPES is 2830 N Hiawassee Rd, Orlando, FL 32818-3319.
- What is Justin Waller OD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Justin Waller OD PLLC is (863) 529-3119.
- Does Justin Waller OD PLLC accept Medicare?
- Justin Waller OD PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Justin Waller OD PLLC?
- The authorized official listed on Justin Waller OD PLLC's NPPES record is Justin Waller, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Justin Waller OD PLLC's NPI active?
- Yes — Justin Waller OD PLLC's NPI (1265238323) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.