Optix
Optometrist in Orlando, FL. Organization (NPI-2).
NPI number1629596200
StatusActive
Last updated in NPPESJan 3, 2018
Details
- NPI
- 1629596200
- Entity type
- Organization (NPI-2)
- Legal business name
- Optix
- Organization subpart
- No
- Enumeration date
- Sep 5, 2017
- Last updated
- Jan 3, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPC5035 | FL | Yes |
| 152WS0006X | Optometrist, Sports Vision | OPC5035 | FL | |
| 152WV0400X | Optometrist, Vision Therapy | OPC5035 | FL |
Practice location
9001 Taborfield Ave Ste 101Orlando, FL 32836-8905
Phone 407-217-7375
Mailing address
9001 Taborfield Ave Ste 101Orlando, FL 32836-8905
Phone 407-217-7375
Authorized official
Pamela Jiselle Blade
Optometrist/Owner
4072177375
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