Petit, Mitchell Robert

Petit, Mitchell Robert is an individual health care provider with primary practice located at 2000 66Th St N , St Petersburg FL 33710-4710. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Petit, Mitchell Robert can be contacted via phone (727) 341-1987.

Contact Information

Primary practice address
2000 66Th St N St Petersburg FL 33710-4710
Phone: (727) 341-1987
Fax: (727) 347-7297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 3419 Florida

Profile Details

NPI number 1184628547
LBN Legal business name Petit, Mitchell Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Feb 4th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184628547 NPPES
Florida Other 261355 CLARITY VISION PLAN
Florida Other 593651926 CLARITY VISION PLAN
Florida Other 11436 CLARITY VISION PLAN
Florida Other 487101 CLARITY VISION PLAN
Florida Other 3419 CLARITY VISION PLAN
Florida Other 261355 CLARITY VISION PLAN
Florida Other 410001004 CLARITY VISION PLAN
Florida Other VFL000856 CLARITY VISION PLAN
Florida MEDICAID 620670100 CLARITY VISION PLAN

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