Dr. Staci Renee Walters is a Melbourne, Florida based female Optometrist with 21 years of experience in Optometry. She completed her graduation from Pacific University - College Of Optometry in 2003. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Staci Renee Walters is 4395 for Optometry in Florida. Dr. Staci Renee Walters 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. She 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. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Staci Renee Walters speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
21+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
2003
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
665 S Apollo Blvd, Melbourne, Florida, 32901-1485
Phone:
321-984-3200
Fax:
321-984-0032
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9739128273
Enrollment ID:
I20110920000579
NPI Number:
1417173832
NPI Enumeration Date:
17 Apr, 2007
NPI Last Update On:
23 Feb, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Staci Renee Walters are as mentioned below.
License Number
Specialization
State
Status
4395
Optometry
Florida
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Staci Renee Walters has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Space Coast Ophthalmology Llc (4688950611)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Staci Renee Walters such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
053998005
Other
Florida
DEMERC PB
190CM
Other
Florida
BCBS
053998004
Other
Florida
DEMERC ST
053998002
Other
Florida
DEMERC AP
053998003
Other
Florida
DEMERC NC
003325900
Medicaid
Florida
0539980006
Other
Florida
DEMERC TV
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
665 S Apollo Blvd, Melbourne, Florida
Zip:
32901-1485
Phone Number:
321-984-3200
Fax Number:
321-984-0032
Patients can reach Dr. Staci Renee Walters at 665 S Apollo Blvd, Melbourne, Florida or can call to book an appointment on 321-984-3200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.