Pettit, John Algren
Pettit, John Algren is an sole proprietor health care provider with primary practice located at 1480 Us Highway 17 N Inside Walmart Vision, Wauchula FL 33873-5006. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pettit, John Algren can be contacted via phone (863) 448-3790.Contact Information
Primary practice address
1480 Us Highway 17 N Inside Walmart Vision
Wauchula FL 33873-5006
Phone: (863) 448-3790
Fax: (941) 918-2679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1551 | Florida |
Profile Details
| NPI number | 1487713335 |
|---|---|
| LBN Legal business name | Pettit, John Algren |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2006 |
| Last updated | Jan 3rd, 2011 - about 13 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 | 1487713335 | NPPES |
| Florida | MEDICAID | 086943100 |
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