Staci Renee Walters in Melbourne - Optometrist
Staci Renee Walters - NPI 1417173832
Staci Renee Walters is a Optometrist in Melbourne, Florida. Staci Renee Walters practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Staci Renee Walters is 1417173832. The last update date is 2018-02-23.
Staci Renee Walters's current location address is 665 S Apollo Blvd, Melbourne, Florida. You can contact this provider via phone number 3219843200 and fax number 3219840032. The mailing address for Staci Renee Walters is 665 S Apollo Blvd, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Staci Renee Walters |
|---|---|
| Address | 665 S Apollo Blvd, Melbourne, Florida |
| Phone Number | 3219843200 |
| Fax Number | 3219840032 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1417173832 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2018-02-23 |
Provider Mailing Address Detail
| Address | 665 S Apollo Blvd |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329011485 |
| Phone Number | 3219843200 |
| Fax Number | 3219840032 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4395 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 53998005 | FL | DEMERC PB | |
| 190CM | FL | BCBS | |
| 53998004 | FL | DEMERC ST | |
| 53998002 | FL | DEMERC AP | |
| 53998003 | FL | DEMERC NC | |
| 3325900 | FL | -- | |
| 539980006 | FL | DEMERC TV |
Post Comment/ Review Below
What is the Staci Renee Walters's 1417173832?
The Staci Renee Walters's NPI (National Provider Identifier) Number is 1417173832. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Staci Renee Walters?
The Staci Renee Walters is situated at 665 S Apollo Blvd, in the city of Melbourne, state of FL, with the zip code 329011485.
What is the area of specialization for Staci Renee Walters, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Staci Renee Walters is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
When did the Staci Renee Walters receive its 1417173832?
The Staci Renee Walters was issued its 1417173832 on 2007-04-17, which is the date when the organization was assigned this unique identifier.
When was the information regarding Staci Renee Walters most recently updated?
The details pertaining to the Staci Renee Walters, including its address, specialty, and other relevant information, were last refreshed on 2018-02-23.