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

Michael Walter Staron, OD

Individual provider Optometrist · NPI 1619766516

Michael Walter Staron, OD is an Optometry in Palos Park, Illinois. Graduated from Ohio State University - College of Optometry in 2025, 1 year ago. Practices with Aeg Florida Professional PLLC, a 70-clinician group and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
1
Trained at
Ohio State University - College of Optometry
Licensed in
FL, OH
In the registry since
2025
Specialties on file
3
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

10620 Grandview Dr
Palos Park, IL 60464-2593
Phone: (708) 769-1557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT.007365 (OH)
Optometrist Taxonomy 152W00000X · Licence OPC6708 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619766516
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 6, 2025
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address10620 Grandview Dr, Palos Park, IL 60464-2593

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2025 (1 years in practice)
Group practice Aeg Florida Professional Pllc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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