James Michael Petro in Valrico - Sports Vision
James Michael Petro - NPI 1295953073
James Michael Petro is a Sports Vision in Valrico, Florida. James Michael Petro practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for James Michael Petro is 1295953073. The last update date is 2018-10-25.
James Michael Petro's current location address is 2140 East Bloomingdale Ave, Valrico, Florida. You can contact this provider via phone number 8134133323. The mailing address for James Michael Petro is 2140 East Bloomingdale Ave, Valrico, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Michael Petro |
|---|---|
| Address | 2140 East Bloomingdale Ave, Valrico, Florida |
| Phone Number | 8134133323 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1295953073 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2018-10-25 |
Provider Mailing Address Detail
| Address | 2140 East Bloomingdale Ave |
|---|---|
| City | Valrico |
| State | Florida (FL) |
| Post Code | 33596 |
| Phone Number | 8134133323 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Vision |
|---|---|
| Taxonomy | 152Ws0006X |
| Licence No | OPC3266 |
|
Definition: An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11221055 | CAQH PROVIDER |
Post Comment/ Review Below
What is the James Michael Petro's 1295953073?
The James Michael Petro's NPI (National Provider Identifier) Number is 1295953073. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of James Michael Petro?
The James Michael Petro is situated at 2140 East Bloomingdale Ave, in the city of Valrico, state of FL, with the zip code 33596.
What is James Michael Petro's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The James Michael Petro's specialized field of practice is Sports Vision, and the corresponding taxonomy code that categorizes this area of specialization is 152Ws0006X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295953073 to James Michael Petro?
The Centers for Medicare & Medicaid Services originally issued the 1295953073 to James Michael Petro on 2007-04-24.
As of what date was the information regarding James Michael Petro, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to James Michael Petro, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-10-25.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY