Dr. Pamela R. Heiple P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC002725 Issued in FL

Legal business name

DR. PAMELA R. HEIPLE P.A.

Practice address

1700 W New Haven Ave
C/O Jcpenney Optical
Melbourne, FL 32904-3919

Phone

(321) 727-8807

Fax

(321) 676-1541

NPI assigned

Nov 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela Rae Heiple, O.D.NPI 1093883613

Title

Optometrist

Phone

(321) 508-0793

Specialties & licenses 1

Addresses

Other names 1

• Pamela Heiple Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Heiple, O.D.

  • Optometrist
  • Melbourne, FL
  • NPI 1093883613
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1578864310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W NEW HAVEN AVE",
            "address_2": "C/O JCPENNEY OPTICAL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043919",
            "telephone_number": "321-727-8807",
            "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": "C/O JCPENNEY OPTICAL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043919",
            "telephone_number": "321-727-8807",
            "fax_number": "321-676-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAMELA R. HEIPLE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "HEIPLE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "321-508-0793",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC002725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamela Heiple",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optometrist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Optometrist in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.