Guy Timothy Petito, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP-0001955 Issued in FL

Practice address

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

Phone

(727) 578-9880

NPI assigned

Jun 25, 2006

Last updated

Sep 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• G Timothy Petito OD PA

  • Optometrist
  • St Petersburg, FL
  • NPI 1124290515
  Medicare reassignment NPD Authorized official
• Lighthouse of Pinellas Inc

  • Low Vision Rehabilitation Optometrist
  • Largo, FL
  • NPI 1801858071
  NPD (past)
• Tampa Lighthouse for the Blind

  • Optometrist
  • Tampa, FL
  • NPI 1356431662
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1629004999",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITO",
        "first_name": "GUY",
        "middle_name": "TIMOTHY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP-0001955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A. Peterson, MD
• Larnetta Renne Peterson
• Mitchell Robert Petit, O.D.
• Thomas E Petit, LMHC
• Lisa E Petitfils, M.D.
• Renee Petrie
• Vincent R Petronelli, APRN
• Aleksandra Petrovic, M.D.
• Alexander Petrovich, PHARM.D.
• Harold Jay Petry II, LMHC

• 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 Sep 19, 2013; 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.

Verify at the official NPI Registry.