MITCHELL ROBERT PETIT (O.D.) – Optometrist, NPI 1184628547

MITCHELL ROBERT PETIT (O.D.) is a healthcare provider. based in Tampa, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC 3419 (FL). The NPI Number for MITCHELL ROBERT PETIT (O.D.) is 1184628547

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MITCHELL ROBERT PETIT (O.D.)
NPI
1184628547
Phone
(813) 908-2020
Address
3115 W SWANN AVE
Enumeration Date
13 June 2005
Last Update Date
4 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136532020
Graduation Year
1993 (33 years ago)
PAC ID
4183885064
Group Practice PAC ID
3072612506
Professional Enrollment ID
I20120420000166
Address ID
FL335114910BR206XXPLXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for MITCHELL ROBERT PETIT (O.D.)

  • West Swann Avenue, Hyde Park, Tampa, Hillsborough County, Florida, 33609, United States

    STE 200

    TAMPA, FL 336094617

    Phone: (813) 908-2020

    Fax: (813) 908-2133

    Type: Mailing

  • 66th Street North, Pasadena, Saint Petersburg, Pinellas County, Florida, 33764, United States

    ST PETERSBURG, FL 337104710

    Phone: (727) 341-1987

    Fax: (727) 347-7297

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $213.

Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.

Last reported payment date: 2023-08-15 • Largest payer in this snapshot: Horizon Therapeutics plc ($121).

Total Amount

$213

General + Research + Ownership

Payments

6

Total payment records

General Amount

$213

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-15

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-04-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120420000166IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33609)

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Provider's Procedures

MITCHELL ROBERT PETIT (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYFL92083Measurement of field of vision during daylight conditions5150
OPTOMETRYFL92134Diagnostic imaging of retina2120

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072612506View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
Ophthalmology, Plastic And Reconstructive SurgeryFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

What is the registry number for MITCHELL ROBERT PETIT (O.D.)?
The registry entry for MITCHELL ROBERT PETIT (O.D.) shows NPI 1184628547.
Should I treat MITCHELL ROBERT PETIT (O.D.) as an active provider?
Patients and plans typically see MITCHELL ROBERT PETIT (O.D.) as active in the national extract.
Which specialty label fits MITCHELL ROBERT PETIT (O.D.)?
NPPES ties MITCHELL ROBERT PETIT (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MITCHELL ROBERT PETIT (O.D.)?
MITCHELL ROBERT PETIT (O.D.) shows a connection to Tampa, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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