Organization
JUSTIN WALLER OD PLLC
Active
Other names
Advanced Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN BLAINE WALLER OD (OWNER)
(863) 529-3119
Entity
Organization
Contact information
Practice address
2830 N HIAWASSEE RD, ORLANDO, FL 32818-3319
(863) 529-3119
Mailing address
2830 N HIAWASSEE RD, ORLANDO, FL 32818-3319
(863) 529-3119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
08/25/2025
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