Active NPI
Gretta Claire Homsi, O.D.
- Optometrist
- St Petersburg, FL
National Provider Identifier
1225235575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 4105
- Practice address
- 10474 Roosevelt Blvd N
St Petersburg, FL 33716-3820 - Phone
- (727) 576-3937
- Fax
- (727) 563-2020
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4105 | FL | Primary |
| Optometrist | 152W00000X | OB 3403 | FL | |
| Optometrist | 152W00000X | 4442 | MA |
Addresses
Primary practice location
10474 Roosevelt Blvd N
St Petersburg, FL 33716-3820
Mailing address
12033 Gandy Blvd N
Unit 154
St Petersburg, FL 33702-1520
Phone (727) 217-9469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23902 US Hwy 19 N
Clearwater, FL 33765-1563
Phone (727) 726-3133
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OB 3403 | FL | MD | Optometrist |
| OPC 4105 | FL | MD | Optometrist |
| 4442 | MA | MD | Optometrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Port Richey, FL
- NPI 1790812626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225235575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12033 GANDY BLVD N",
"address_2": "UNIT 154",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337021520",
"telephone_number": "727-217-9469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10474 ROOSEVELT BLVD N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337163820",
"telephone_number": "727-576-3937",
"fax_number": "727-563-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMSI",
"first_name": "GRETTA",
"middle_name": "CLAIRE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4105",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OB 3403",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4442",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.