Michael Petruska Od PC

NPI #1124179494 in Richmond, Virginia

Provider Information

NPI Number: 1124179494
Entity Type: Organization
Organization Name: Michael Petruska Od PC
Primary Specialty: Optometrist
Enumeration Date: Jan 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2501 SHEILA LN
City: Richmond
State: Virginia
ZIP Code: 23225-2041
Phone: (804) 320-9457

Authorized Official

Name: DR. MICHAEL PETRUSKA, O.D.
Title: PRESIDENT
Phone: (484) 223-6930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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