Individual
MICHAEL WALTER STARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10620 GRANDVIEW DR, PALOS PARK, IL 60464-2593
(708) 769-1557
Mailing address
10620 GRANDVIEW DR, PALOS PARK, IL 60464-2593
(708) 769-1557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC6708
FL
152W00000X
Optometrist
Primary
OPT.007365
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2025
Last updated
08/13/2025
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