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BOBBY J PETTIT
NPI 1679761159
Technician/Technologist - Optician in Glendale, AZ

Active since October 09, 2007
5830 W THUNDERBIRD RD STE B5, GLENDALE, AZ 85306(602) 841-7886 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bobby J Pettit NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOBBY J PETTIT (NPI 1679761159) is an individual optician in Glendale, Arizona, licensed in Arizona (644) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1679761159
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NameBOBBY J PETTIT
Location Address5830 W THUNDERBIRD RD STE B5Glendale, AZ 85306-4655
Mailing Address5830 W Thunderbird Rd Ste B5Glendale, AZ 85306-4655 · (602) 841-7886
Phone(602) 841-7886
Sole ProprietorYes
Enumeration DateOctober 9, 2007
✔ NPI 1679761159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License✔ Licensed in AZ · 644
Definition
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.
5830 W THUNDERBIRD RD STE B5, Glendale, AZ 85306
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Other Identifiers 1

Medicare NSC0841580001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bobby Pettit's NPI number?

The NPI number for Bobby Pettit is 1679761159. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Bobby Pettit located?

Bobby Pettit practices at 5830 W Thunderbird Rd Ste B5, Glendale, AZ 85306. The listed phone number is (602) 841-7886.

What is Bobby Pettit's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Bobby Pettit was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.