Michael Walter Staron, OD is a
Optometrist based in Palos Park, Illinois. Michael Walter Staron is licensed to practice in Ohio (license number OPT.007365) and his current practice location is
10620 Grandview Dr, Palos Park, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 769-1557.
NPI number for Michael Walter Staron is 1619766516 and his current mailing address is 10620 Grandview Dr, Palos Park, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619766516.
Healthcare Provider's Profile
| Full Name | Michael Walter Staron |
|---|
| Gender | Male |
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| Speciality | Optometrist |
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| Location | 10620 Grandview Dr, Palos Park, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619766516
- Provider Enumeration Date: 05/06/2025
- Last Update Date: 08/13/2025
Medical Identifiers
Medical identifiers for Michael Walter Staron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619766516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPC6708 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | OPT.007365 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Walter Staron is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Walter Staron, OD
10620 Grandview Dr,
Palos Park, IL 60464-2593
Ph: (708) 769-1557 | Michael Walter Staron, OD
10620 Grandview Dr,
Palos Park, IL 60464-2593
Ph: (708) 769-1557 |
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