Active NPI
Pamela Nicole Massie, OD
- Optician
- Saint Petersburg, FL
National Provider Identifier
1649082322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 7755
- Practice address
- 10237 Bay Pines Blvd
Saint Petersburg, FL 33708-3131 - Phone
- (727) 202-3812
- Fax
- (727) 392-2358
- NPI assigned
- Jan 21, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 7755 | FL | Primary |
Addresses
Primary practice location
10237 Bay Pines Blvd
Saint Petersburg, FL 33708-3131
Mailing address
9505 49TH St N Apt 2-330
Pinellas Park, FL 33782-5292
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7755 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1649082322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9505 49TH ST N APT 2-330",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337825292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10237 BAY PINES BLVD",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337083131",
"telephone_number": "727-202-3812",
"fax_number": "727-392-2358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSIE",
"first_name": "PAMELA",
"middle_name": "NICOLE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-21",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "7755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.