# PETRO EYECARE LLC

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

## Provider details

- **NPI number:** 1831916584
- **Authorized official:** DR. SAMUEL PETRO OD (OWNER)
- **Authorized official phone:** (317) 418-6170

## Contact information

- **Practice address:** 7305 BROAD ST, BROOKSVILLE, FL 34601-3158
- **Practice address phone:** (352) 796-6366
- **Mailing address:** 2506 BORDEAUX WAY, LUTZ, FL 33559-4007

## Taxonomy

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

## Other

- **Enumeration date:** 09/24/2024
- **Last updated:** 09/24/2024