Elite Eyes by Dr Panetta

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELITE EYES BY DR PANETTA

Practice address

7802 Citrus Park Town Center Mall
Tampa, FL 33625-3178

Phone

(727) 808-7961

NPI assigned

Apr 7, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Kristine Panetta

Title

Chief Financial Officer

Phone

(727) 858-8925

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Vincent Robert Panetta, OD

  • Optometrist
  • Tampa, FL
  • NPI 1659157659
  Medicare reassignment NPD

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1225822240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 CITRUS PARK TOWN CENTER MALL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253178",
            "telephone_number": "727-808-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7802 CITRUS PARK TOWN CENTER MALL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253178",
            "telephone_number": "727-808-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE EYES BY DR PANETTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-06",
        "status": "A",
        "authorized_official_last_name": "PANETTA",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "727-858-8925",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659157659",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane L Elis, RPH
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• Elite Medical Care LLC
• Elite Orthopedic Specialists, LLC
• Elite Pharmacy Inc
• Elite Pharmacy Inc

• Optometrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.