Michael Walter Staron, OD

NPI #1619766516 in Palos Park, Illinois

Provider Information

NPI Number: 1619766516
Entity Type: Individual
Name: Michael Walter Staron, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 6, 2025
Last Updated: Aug 13, 2025

Practice Location

Address: 10620 GRANDVIEW DR
City: Palos Park
State: Illinois
ZIP Code: 60464-2593
Phone: (708) 769-1557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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