Petro, James Michael
Petro, James Michael is an individual health care provider with primary practice located at 2140 East Bloomingdale Ave Walmart Vision Center, Valrico FL 33596. He recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Petro, James Michael can be contacted via phone (813) 413-3323.Contact Information
Primary practice address
2140 East Bloomingdale Ave Walmart Vision Center
Valrico FL 33596
Phone: (813) 413-3323
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC3266 | Florida |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | OPC3266 | Florida |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | OPC3266 | Florida |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | OPC3266 | Florida |
Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3266 | Florida |
Profile Details
NPI number | 1295953073 |
---|---|
LBN Legal business name | Petro, James Michael |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 24th, 2007 |
Last updated | Oct 25th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295953073 | NPPES |
Other | 11221055 | CAQH PROVIDER |
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