Active NPI
Pamela Heiple, O.D.
- Optometrist
- Melbourne, FL
National Provider Identifier
1093883613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC002725
- Practice address
- 1700 W New Haven Ave
Jcpenney Optical
Melbourne, FL 32904-3919 - Phone
- (321) 727-8807
- Fax
- (321) 676-1541
- NPI assigned
- Dec 1, 2006
- Last updated
- Feb 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC002725 | FL | Primary |
| Optometrist | 152W00000X | 4813 | TX |
Addresses
Primary practice location
1700 W New Haven Ave
Jcpenney Optical
Melbourne, FL 32904-3919
Mailing address
3330 Westland
Melbourne, FL 32934-7859
Phone (321) 508-0793
Other names 1
- Dr. Pamela R. Heiple
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4813 | TX | MD | Marriage & Family Therapist |
| OPC002725 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Pamela R. Heiple P.a. | Optometrist | Current | Accepting new patients |
Locations
2700 Clearlake Rd
Cocoa, FL 32922
Phone (321) 631-0373
1700 W New Haven Ave
Melbourne, FL 32904
Phone (321) 725-4948
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Melbourne, FL
- NPI 1578864310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1093883613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 WESTLAND",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329347859",
"telephone_number": "321-508-0793",
"fax_number": "321-676-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W NEW HAVEN AVE",
"address_2": "JCPENNEY OPTICAL",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329043919",
"telephone_number": "321-727-8807",
"fax_number": "321-676-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIPLE",
"first_name": "PAMELA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC002725",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4813",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "HEIPLE",
"middle_name": "R.",
"prefix": "DR.",
"credential": "PA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.