Active NPI
Dr James M Petro OD, PA
- Optometrist
- Valrico, FL
National Provider Identifier
1740614635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DR JAMES M PETRO OD, PA
- Practice address
- 2140 E Bloomingdale Ave
Located in Wal-Mart Vision Center
Valrico, FL 33596 - Phone
- (813) 413-3323
- NPI assigned
- Aug 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Michael Petro, O.D.
- Title
- Owner
- Phone
- (813) 340-8317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2140 E Bloomingdale Ave
Located in Wal-Mart Vision Center
Valrico, FL 33596
Mailing address
4323 Faircourt Dr
Valrico, FL 33596-7802
Phone (813) 340-8317
Other practice location 1
28500 State Road 54
Wesley Chapel, FL 33543-3210
Phone (813) 262-2623
National Provider Directory
National Provider DirectoryLocations
2140 Bloomingdale Ave
Valrico, FL 33596
Phone (813) 413-3323
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Valrico, FL
- NPI 1679006431
-
- Optometrist
- Valrico, FL
- NPI 1326778978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548374400000",
"number": "1740614635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4323 FAIRCOURT DR",
"city": "VALRICO",
"state": "FL",
"postal_code": "335967802",
"telephone_number": "813-340-8317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 E BLOOMINGDALE AVE",
"address_2": "LOCATED IN WAL-MART VISION CENTER",
"city": "VALRICO",
"state": "FL",
"postal_code": "33596",
"telephone_number": "813-413-3323"
}
],
"practiceLocations": [
{
"address_1": "28500 State Road 54",
"address_purpose": "LOCATION",
"city": "Wesley Chapel",
"state": "FL",
"postal_code": "335433210",
"country_code": "US",
"telephone_number": "813-262-2623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DR JAMES M PETRO OD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-27",
"last_updated": "2019-01-25",
"status": "A",
"authorized_official_last_name": "PETRO",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-340-8317",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valrico, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.