Organization Active NPI

Dr James M Petro OD, PA

  • Optometrist
  • Valrico, FL
National Provider Identifier
1740614635
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Jan 25, 2019

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.