NPIMap

Organization Active NPI

Optix

  • Optometrist
  • Orlando, FL
National Provider Identifier
1629596200
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5035 Issued in FL
Legal business name
OPTIX
Practice address
9001 Taborfield Ave Ste 101
Orlando, FL 32836-8905
Phone
(407) 217-7375
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Authorized official

Name
Dr. Pamela Jiselle Blade, ODNPI 1093028631
Title
Optometrist/Owner
Phone
(407) 217-7375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPC5035 FL Primary
Sports Vision OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WS0006X OPC5035 FL
Vision Therapy OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WV0400X OPC5035 FL

Addresses

Primary practice location

9001 Taborfield Ave Ste 101
Orlando, FL 32836-8905

Mailing address

9001 Taborfield Ave Ste 101
Orlando, FL 32836-8905
Phone (407) 217-7375

National Provider Directory

National Provider Directory

Locations

9001 Taborfield Ave
Ste 101
Orlando, FL 32836
Phone (407) 217-7375

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1629596200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 TABORFIELD AVE STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328368905",
            "telephone_number": "407-217-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 TABORFIELD AVE STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328368905",
            "telephone_number": "407-217-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "BLADE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JISELLE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "407-217-7375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5035",
            "primary": true
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "FL",
            "license": "OPC5035",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC5035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.