Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Staci Renee Walters, O.D.

Optometrist in Melbourne, FL · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417173832

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Registry record

Entity type Individual (Type 1)

Name Dr. Staci Renee Walters

Credential O.D.

Sex Female

Practice address 665 S Apollo Blvd, Melbourne, FL, 32901

Phone (321) 984-3200

Fax (321) 984-0032

Enumeration date Apr 17, 2007

Last updated in NPPES Feb 23, 2018

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 4395 (FL) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
053998005	Other	FL	DEMERC PB
190CM	Other	FL	BCBS
053998004	Other	FL	DEMERC ST
053998002	Other	FL	DEMERC AP
053998003	Other	FL	DEMERC NC
003325900	Medicaid	FL	-
0539980006	Other	FL	DEMERC TV

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Staci Walters's NPI record?

Cross-check NPI 1417173832 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1417173832 active?

Yes, as of the latest NPPES snapshot, NPI 1417173832 is active (record last updated 2018-02-23).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-02-23.