Provider Demographics
NPI:1225235575
Name:HOMSI, GRETTA CLAIRE (OD)
Entity Type:Individual
Prefix:DR
First Name:GRETTA
Middle Name:CLAIRE
Last Name:HOMSI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12033 GANDY BLVD N
Mailing Address - Street 2:UNIT 154
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-1520
Mailing Address - Country:US
Mailing Address - Phone:727-217-9469
Mailing Address - Fax:
Practice Address - Street 1:10474 ROOSEVELT BLVD N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-3820
Practice Address - Country:US
Practice Address - Phone:727-576-3937
Practice Address - Fax:727-563-2020
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4105152W00000X
FLOB 3403152W00000X
MA4442152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist