Active NPI
Angie R Pei, O.D.
- Optometrist
- Tampa, FL
National Provider Identifier
1548485535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3037
- Practice address
- 5135 S Dale Mabry Hwy
Tampa, FL 33611-3505 - Phone
- (813) 902-1710
- Fax
- (813) 805-7901
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 3037 | FL | Primary |
Addresses
Primary practice location
5135 S Dale Mabry Hwy
Tampa, FL 33611-3505
Mailing address
810 S Lakeview Rd
Tampa, FL 33609-5309
Phone (813) 494-1436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 3037 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1548485535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 S LAKEVIEW RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336095309",
"telephone_number": "813-494-1436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5135 S DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336113505",
"telephone_number": "813-902-1710",
"fax_number": "813-805-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEI",
"first_name": "ANGIE",
"middle_name": "R",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.