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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: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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.

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 · (863) 529-3119
Phone(863) 529-3119
Sole ProprietorNo
Enumeration DateAugust 7, 2019
Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ 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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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 enrollment system.

What insurance does Justin Waller accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross Blue Shield of Wyoming and 7 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 August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.