Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780239640 Individual Practitioner Male Practitioner

Dr. Justin Blaine Waller , OD

Optometrist • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Dr. Justin Waller, OD is a registered healthcare professional specializing in Optometrist in Orlando, FL. Practice services are available at 2830 N HIAWASSEE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2830 N Hiawassee Rd

Orlando, FL 328183319

Telephone 8635293119
Associated Practice Facility / Clinic
🏢 Samuel Scardinoo.d.,p.a. Facility NPI 1033377593

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.9 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
161 Specialists

Practicing in Orlando, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-25
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC5725

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1326034349

Doctor of Optometry

NPI 1679539480

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 21, 2025

Registered at 2830 N HIAWASSEE RD, ORLANDO, FL 328183319 (Tel: 8635293119)

📍
Updated Business Mailing Address February 21, 2025

Registered at 2830 N HIAWASSEE RD, ORLANDO, FL 328183319 (Tel: 8635293119)

NPI Profile Active August 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2019

Registered at 3468 NW FEDERAL HWY, JENSEN BEACH, FL 349574440 (Tel: 7726922020)

📍
Updated Business Mailing Address August 07, 2019

Registered at 3468 NW FEDERAL HWY, JENSEN BEACH, FL 349574440

👤
Provider Name / Credentials Updated August 07, 2019

Recorded as JUSTIN WALLER, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2019

Optometrist (License #OPC5725 in FL)

🟢
Initial NPI Registration & Enumeration August 07, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780239640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2019
Last Update: August 25, 2025
Sole Proprietor: No

Mailing Address

2830 N Hiawassee Rd

Orlando, FL 328183319

Phone: 8635293119

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.