G Timothy Petito OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP0001955 Issued in FL

Legal business name

G TIMOTHY PETITO OD PA

Practice address

8695 4TH St N
St Petersburg, FL 33702-3103

Phone

(727) 578-9880

Fax

(727) 578-1510

NPI assigned

Mar 26, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Guy Timothy Petito, O.D.NPI 1629004999

Title

Owner

Phone

(727) 578-9880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guy Timothy Petito, O.D.

  • Optometrist
  • St Petersburg, FL
  • NPI 1629004999
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1124290515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023103",
            "telephone_number": "727-578-9880",
            "fax_number": "727-578-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8695 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023103",
            "telephone_number": "727-578-9880",
            "fax_number": "727-578-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G TIMOTHY PETITO OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "PETITO",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-578-9880",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP0001955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Furman
• Jessica Futoran, LMHC
• Future Days Counseling LLC
• Michelle L Fynan
• G Stanford Pierce DC PA (Pierce Clinic of Chiropractic)
• G.a. Food Services of Pinellas County, LLC
• G.a. Machacek D.C. Inc. (Physicians Spine & Wellness Center)
• Ronald James Gabriau, SW
• Gabriel Hurst Prosthetics, LLC (All About Prosthetics)
• Janna Leigh Gaburo

• Optometrist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.