# JOHN A. PETTIT, O.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225290208
- **Authorized official:** DR. JOHN A. PETTIT OD (OWNER)
- **Authorized official phone:** 94192133411

## Contact information

- **Practice address:** 3920 BEE RIDGE RD, BLDG. A SUITE A, SARASOTA, FL 34233-1207
- **Practice address phone:** (941) 923-3411
- **Practice address fax:** (941) 921-3832
- **Mailing address:** 3920 BEE RIDGE RD, BLDG. A SUITE A, SARASOTA, FL 34233-1207
- **Mailing address phone:** (941) 923-3411
- **Mailing address fax:** (941) 921-3832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 06/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 086943100 | — | FL |