Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mitchell Robert Petit, OD

Individual provider Optometrist · NPI 1184628547

Mitchell Robert Petit, OD is an Optometry in St Petersburg, Florida. Qualified in 1993, 33 years ago. Practices with Southeast Eye Institute PA, a 32-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
33
Licensed in
FL
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2000 66th St N
St Petersburg, FL 33710-4710
Phone: (727) 341-1987
Fax: (727) 347-7297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC 3419 (FL)

Record details

NPI number1184628547
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 13, 2005
Last updated in NPPESFebruary 4, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Southeast Eye Institute Pa — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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