BOBBY J PETTIT NPI 1679761159

NPI Information

  • NPI: 1679761159
  • Provider Name: BOBBY J PETTIT
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 5830 W THUNDERBIRD RD STE B5
    GLENDALE, AZ
    ZIP 85306
  • Phone: (602) 841-7886

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NPI Details

Bobby J Pettit is an optician technician technologist in Glendale, AZ. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. Bobby J Pettit NPI is 1679761159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5830 W THUNDERBIRD RD STE B5
GLENDALE, AZ
ZIP 85306-655
Phone: (602) 841-7886

The enumeration date for this NPI number is 10/9/2007 and was last updated on 10/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOptician644ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10841580001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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