Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Staci Renee Walters, OD

Individual provider Optometrist · NPI 1417173832

Dr. Staci Renee Walters, OD is an Optometry in Melbourne, Florida. Graduated from Pacific University - College of Optometry in 2003, 23 years ago. Practices with Space Coast Ophthalmology LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Trained at
Pacific University - College of Optometry
Licensed in
FL
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

665 S Apollo Blvd
Melbourne, FL 32901-1485
Phone: (321) 984-3200
Fax: (321) 984-0032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4395 (FL)

Record details

NPI number1417173832
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESFebruary 23, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2003 (23 years in practice)
Group practice Space Coast Ophthalmology Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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