G Timothy Petito Od Pa in St Petersburg - Optometrist

G Timothy Petito Od Pa - NPI 1124290515

G Timothy Petito Od Pa is a Optometrist in St Petersburg, Florida. G Timothy Petito Od Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for G Timothy Petito Od Pa is 1124290515. The last update date is 2008-08-21.

G Timothy Petito Od Pa's current location address is 8695 4th St N, St Petersburg, Florida. You can contact this provider via phone number 7275789880 and fax number 7275781510. The mailing address for G Timothy Petito Od Pa is 8695 4th St N, St Petersburg, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization G Timothy Petito Od Pa
Address 8695 4th St N, St Petersburg, Florida
Phone Number 7275789880
Fax Number 7275781510
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Petito Timothy Guy
Credentials O.D.
Telephone Number 7275789880

NPI Number Detail

NPI Number 1124290515
Provider Enumeration Date 2008-03-26
Last Updated Date 2008-08-21

Provider Mailing Address Detail

Address 8695 4th St N
City St Petersburg
State Florida (FL)
Post Code 337023103
Phone Number 7275789880
Fax Number 7275781510

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No OP0001955
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

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FAQs about G Timothy Petito Od Pa

What is the unique identifier code issued to G Timothy Petito Od Pa by the Centers for Medicare & Medicaid Services (CMS)?

The G Timothy Petito Od Pa has been assigned the NPI (National Provider Identifier) 1124290515. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where G Timothy Petito Od Pa is physically located?

The G Timothy Petito Od Pa is physically situated at the following address: 8695 4Th St N, St Petersburg, FL, 337023103.

What is the G Timothy Petito Od Pa's specialty and taxonomy code?

The G Timothy Petito Od Pa's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.

When did G Timothy Petito Od Pa receive its 1124290515 assignment?

The G Timothy Petito Od Pa was assigned its 1124290515 on 2008-03-26, which is the date when this unique identifier was issued to the organization.

As of what date were the G Timothy Petito Od Pa's details last updated?

The information pertaining to the G Timothy Petito Od Pa, including its address, specialty, and other details, was most recently updated on 2008-08-21.

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