Individual provider Active NPI

Gretta Claire Homsi, O.D.

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1225235575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4105 Issued in FL
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000115 FL Practitioner - Optometry 8921194028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John L. Meyers, OD PAGroup PAC ID 2668495532, 5 clinicians

Practice addresses (Care Compare)

23902 US Hwy 19 N
Clearwater, FL 33765-1563
Phone (727) 726-3133

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OB 3403FLMDOptometrist
OPC 4105FLMDOptometrist
4442MAMDOptometrist

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.

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

Verify at the official NPI Registry.