# OPTIX

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629596200
- **Authorized official:** DR. PAMELA JISELLE BLADE OD (OPTOMETRIST/OWNER)
- **Authorized official phone:** (407) 217-7375

## Contact information

- **Practice address:** 9001 TABORFIELD AVE STE 101, ORLANDO, FL 32836-8905
- **Practice address phone:** (407) 217-7375
- **Mailing address:** 9001 TABORFIELD AVE STE 101, ORLANDO, FL 32836-8905
- **Mailing address phone:** (407) 217-7375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC5035 | FL | Yes |
| 152WS0006X | Sports Vision Optometrist | OPC5035 | FL | — |
| 152WV0400X | Vision Therapy Optometrist | OPC5035 | FL | — |

## Other

- **Enumeration date:** 09/05/2017
- **Last updated:** 01/03/2018
