Michael Walter Staron, OD is a medicare enrolled "Optometrist" provider in Palos Park, Illinois. He went to Ohio State University - College Of Optometry and graduated in 2025 and has 1 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Aeg Florida Professional Pllc and his current practice location is
10620 Grandview Dr, Palos Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 769-1557.
Michael Walter Staron is licensed to practice in Ohio (license number OPT.007365) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619766516.
Healthcare Provider's Profile
| Full Name | Michael Walter Staron |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 1 Years |
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| Location | 10620 Grandview Dr, Palos Park, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Walter Staron attended and graduated from Ohio State University - College Of Optometry in 2025
NPI Data:
- NPI Number: 1619766516
- Provider Enumeration Date: 05/06/2025
- Last Update Date: 08/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789180803
- Enrollment ID: I20250929002233
Medical Identifiers
Medical identifiers for Michael Walter Staron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619766516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPC6708 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | OPT.007365 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aeg Florida Professional Pllc | 3870960032 | 67 |
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
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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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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