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

DR. JUSTIN BLAINE WALLER OD
NPI 1780239640
Optometrist in Orlando, FL

Active since August 07, 2019PECOS Enrolled
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.

Record update history: Feb 21, 2025, Aug 7, 2019 (2 updates tracked since 2019).

About Dr. Justin Blaine Waller Od NPPES

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

DR. JUSTIN BLAINE WALLER OD (NPI 1780239640) is an individual optometrist in Orlando, Florida, licensed in Florida (OPC5725) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1780239640
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JUSTIN BLAINE WALLERCredential: OD
Location Address2830 N HIAWASSEE RDOrlando, FL 32818-3319
Mailing Address2830 N Hiawassee RdOrlando, FL 32818-3319 · (407) 296-2020
Phone(863) 529-3119
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 7, 2019
Last NPPES UpdateOctober 19, 20262 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1780239640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC5725
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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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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin Blaine Waller Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759610561
PECOS Enrollment IDI20190904000951
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Justin Waller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Justin Waller Od PLLC
Same address
Optometrist
2830 N HIAWASSEE RD
Orlando, FL 32818
  • Reassigned Medicare billing, Florida enrollment
NPI 1265238323 (863) 529-3119
Advanced Anderson, Inc
Same address
Optometrist
2830 N. HIAWASSEE RD
Orlando, FL 32818
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1700201084 (407) 296-2020

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32818 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMUEL SCARDINOO.D.,P.A.
Optometrist
2830 N HIAWASSEE RD
ORLANDO, FL 32818
Orange County (407) 296-2020
JUSTIN WALLER OD PLLC
Optometrist
2830 N HIAWASSEE RD
ORLANDO, FL 32818
Orange County (863) 529-3119
SAMUEL SCARDINO O.D.,P.A.
Optometrist
2830 N HIAWASSEE RD
ORLANDO, FL 32818
Orange County (407) 296-2020
CLINTON R ANDERSON O.D.
Optometrist
2830 N HIAWASSEE RD
ORLANDO, FL 32818
Orange County (407) 296-2020
DR. SAMUEL SCARDINO OD
Optometrist
2830 N HIAWASSEE RD
ORLANDO, FL 32818
Orange County (407) 296-2020

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's NPI number?

The NPI number for Justin Waller is 1780239640. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Justin Waller located?

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

What is Justin Waller's specialty?

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

Is Justin Waller enrolled in Medicare?

Yes. Justin Waller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Justin Waller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Waller reassigns Medicare benefits to 2 organizations: Justin Waller Od PLLC (Orlando, FL) and Advanced Anderson, Inc (Orlando, FL). Each 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 Justin Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Waller accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 13 other insurers list Justin Waller 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 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 16 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.