Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487173514 Individual Practitioner Female Practitioner

Dr. Ally Pettit , OD

Optometrist • Troy, MI

Professional Overview & Biography Verified Profile Summary

Dr. Ally Pettit, OD is a registered healthcare professional specializing in Optometrist in Troy, MI. Practice services are available at 735 JOHN R RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

735 John R Rd

Troy, MI 480835856

Telephone 2489510000
Associated Practice Facility / Clinic
🏢 Pcor, Llc Facility NPI 1801122460

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Troy, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.8 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
45 Specialists

Practicing in Troy, MI (2032 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
31.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
39 33 $45.00 $44.66
92083 Exam of visual field with extended testing
17 16 $100.00 $63.43
92133 Imaging of optic nerve
12 12 $64.00 $35.97

Medical Specialties & State Licenses

CMS Verified: 2020-07-15
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901005425

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License OH 6574

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0279325 (OH)
Medicaid State Provider ID
1487173514 (MI)

Secondary Practice Locations

7800 Montgomery Rd

Cincinnati, OH 452364388

Phone: 5137935970

1945 Cei Dr

Blue Ash, OH 452425664

Phone: 5135693741

580 S Loop Rd Ste 200

Edgewood, KY 41017

Phone: 5135693741

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1093940066

Doctor of Optometry

NPI 1588402077

Doctor of Optometry

NPI 1659298412

Doctor of Optometry

NPI 1871926196

Doctor of Optometry

Jacinta Langlois

Optometrist

NPI 1891461174
NPI 1962062968

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 15, 2020

Registered at 735 JOHN R RD, TROY, MI 480835856 (Tel: 2489510000)

📍
Updated Business Mailing Address July 15, 2020

Registered at 735 JOHN R RD STE 150, TROY, MI 480835859 (Tel: 2485889300)

📍
Updated Practice Location July 27, 2018

Registered at 580 S LOOP RD STE 200, EDGEWOOD, KY 41017 (Tel: 5135693741)

NPI Profile Active September 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2017

Registered at 7800 MONTGOMERY RD, CINCINNATI, OH 452364388 (Tel: (513) 793-5970)

📍
Updated Business Mailing Address September 09, 2017

Registered at 7800 MONTGOMERY RD, CINCINNATI, OH 452364388 (Tel: 5137935970)

👤
Provider Name / Credentials Updated September 09, 2017

Recorded as ALLY PETTIT, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2017

Optometrist (License #6574 in OH)

🟢
Initial NPI Registration & Enumeration September 09, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487173514
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

735 John R Rd Ste 150

Troy, MI 480835859

Phone: 2485889300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.