DR. JOCELYN ROSE PETTITT (O.D.) – Optometrist, NPI 1093971533

DR. JOCELYN ROSE PETTITT (O.D.) is a healthcare provider. based in Mentor, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5814 (OH). The NPI Number for DR. JOCELYN ROSE PETTITT (O.D.) is 1093971533

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOCELYN ROSE PETTITT (O.D.)
NPI
1093971533
Phone
(440) 946-8809
Address
7200 MENTOR AVE
Enumeration Date
4 August 2008
Last Update Date
7 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4409468809
Graduation Year
2008 (18 years ago)
PAC ID
5092900852
Group Practice PAC ID
7618207036
Professional Enrollment ID
I20101108000181
Address ID
OH440607522ME7200XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for DR. JOCELYN ROSE PETTITT (O.D.)

  • 7200, Mentor Avenue, Mentor, Lake County, Ohio, 44060, United States

    MENTOR, OH 440607522

    Phone: (440) 946-8809

    Fax: (440) 269-7942

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-11-08

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
I20101108000181IOptometryOHTBD

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 44060)

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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: 7618207036View full group profile
NameSpecialtyState
O P T O M E T R YSC
O P T O M E T R YNC
O P T O M E T R YOH
O P T O M E T R YTN
O P T O M E T R YOH
O P H T H A L M O L O G YMI
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JOCELYN ROSE PETTITT (O.D.)'s NPI?
Yes. DR. JOCELYN ROSE PETTITT (O.D.) is listed with NPI 1093971533 in the public NPI dataset.
Does the file indicate DR. JOCELYN ROSE PETTITT (O.D.) is practicing under active NPI?
Directory data currently reports DR. JOCELYN ROSE PETTITT (O.D.) as active.
What is DR. JOCELYN ROSE PETTITT (O.D.)'s specialty?
The listing groups DR. JOCELYN ROSE PETTITT (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. JOCELYN ROSE PETTITT (O.D.) list a practice location?
Patients near Mentor, Ohio may find DR. JOCELYN ROSE PETTITT (O.D.) in results; validate coverage separately.
Why does DR. JOCELYN ROSE PETTITT (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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