Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUSTIN WALLER OD PLLC
NPI 1265238323
Optometrist in Orlando, FL

Q: What is Justin Waller Od PLLC's NPI number?

The NPI number for Justin Waller Od PLLC is 1265238323. It was assigned to this organization in the NPPES registry on February 20, 2025. The provider is doing business as Advanced Optical.

Q: What is Justin Waller Od PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since February 20, 2025

2830 N HIAWASSEE RD, ORLANDO, FL 32818(863) 529-3119 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Justin Waller Od Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN WALLER OD PLLC (NPI 1265238323), doing business as Advanced Optical, is a healthcare organization registered as an optometrist in Orlando, Florida and active in the NPI registry since February 2025. The organization lists Justin Blaine Waller, Owner, as its authorized official.

NPPES Registry Identity

NPI1265238323

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJUSTIN WALLER OD PLLC

Location Address2830 N HIAWASSEE RDOrlando, FL 32818-3319

Mailing Address2830 N Hiawassee RdOrlando, FL 32818-3319 · (407) 296-2020

Phone(863) 529-3119

Organization SubpartNo

Authorized OfficialJustin Blaine WallerOwner · (407) 296-2020

Enumeration DateFebruary 20, 2025

Last NPPES UpdateOctober 19, 2026

NPPES CertifiedOctober 19, 2026

✔ NPI 1265238323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2830 N HIAWASSEE RD, Orlando, FL 32818

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Other Names 1

Doing Business AsAdvanced Optical

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Waller Od Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Justin Waller Od PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Justin Waller, OD

Optometry

NPI 1780239640

2830 N HIAWASSEE RD
Orlando, FL 32818

(863) 529-3119

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Waller Od PLLC's NPI number?

The NPI number for Justin Waller Od PLLC is 1265238323. It was assigned to this organization in the NPPES registry on February 20, 2025. The provider is doing business as Advanced Optical.

Where is Justin Waller Od PLLC located?

Justin Waller Od PLLC is located at 2830 N Hiawassee Rd, Orlando, FL 32818. The listed phone number is (863) 529-3119.

What is Justin Waller Od PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Justin Waller Od PLLC enrolled in Medicare?

Yes. Justin Waller Od PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Justin Waller Od PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Justin Waller Od PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Justin Waller Od PLLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 4 other insurers list Justin Waller Od PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Waller Od PLLC was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.