Ally Pettit, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005425 Issued in MI

Practice address

735 John R Rd
Troy, MI 48083-5856

Phone

(248) 951-0000

NPI assigned

Sep 9, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: apettit685265@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• P-Cor LLC

  dba Henry Ford Optimeyes

  • Optometrist
  • Plymouth, MI
  • NPI 1104571074
  NPD (past)
• P-Cor, LLC

  dba Henry Ford Optimeyes

  • Optometrist
  • Farmington Hills, MI
  • NPI 1376794214
  NPD (past)
• P-Cor, LLC

  • Optometrist
  • Monroe, MI
  • NPI 1871788562
  NPD (past)
• P-Cor, LLC

  dba Henry Ford Optimeyes

  • Optometrist
  • W Bloomfield, MI
  • NPI 1922274281
  NPD (past)

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

{
    "created_epoch": "1504915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487173514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 JOHN R RD STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835859",
            "telephone_number": "248-588-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 JOHN R RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835856",
            "telephone_number": "248-951-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452364388",
            "country_code": "US",
            "telephone_number": "513-793-5970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 Cei Dr",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452425664",
            "country_code": "US",
            "telephone_number": "513-569-3741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 S Loop Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "41017",
            "country_code": "US",
            "telephone_number": "513-569-3741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "ALLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-09",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6574",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487173514",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279325",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Petros, PTA
• Waseem Ghanim Petros, M.D.
• Bijanka Petrovski
• Liezel S Petrus, OTR
• Shaelyn Grace Pettinga
• Austin Kristara-Marie Petty
• Mark Francis Pezda, M. D.
• Abigail Pfaendtner, PA STUDENT
• PFLC, LLC
• Sheryl Louise Pfromm, LLP

• Optometrist in Troy, MI
• Providers in Troy, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.