Individual provider Active NPI

Vincent Robert Panetta, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1659157659
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6346 Issued in FL
Practice address
7802 Citrus Park Town Center Mall
Tampa, FL 33625-3178
Phone
(727) 808-7961
NPI assigned
Sep 5, 2023
Last updated
Apr 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6346 FL Primary

Addresses

Primary practice location

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

Mailing address

7802 Citrus Park Town Center Mall
Tampa, FL 33625-3178
Phone (727) 808-7961

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
I20251003001295 FL Practitioner - Optometry 5597261933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7802 Citrus Park Town Ctr Mall
Tampa, FL 33625-3178
Phone (813) 920-3712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Hill Optical Inc Optometrist CurrentSince Jan 26, 2026 Accepting new patients
Elite Eyes by Dr Panetta Optometrist CurrentSince Aug 25, 2025 Accepting new patients
John H. Merey M.D., P.a. PastSince Sep 1, 2023 Accepting new patients
Magruder Eye Institute, PLLC PastSince Sep 1, 2023 Accepting new patients

Locations

1601 Rickenbacker Dr
Ste 8
Sun City Center, FL 33573
Phone (813) 634-6344

7802 Citrus Park Town Ctr
Tampa, FL 33625
Phone (813) 920-3712

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1659157659",
    "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": {
        "last_name": "PANETTA",
        "first_name": "VINCENT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.