Tanya Victoria Petruk, OD

NPI #1487515474 in Lacey, Washington

Provider Information

NPI Number: 1487515474
Entity Type: Individual
Name: Tanya Victoria Petruk, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Nov 19, 2025
Last Updated: Nov 19, 2025

Practice Location

Address: 8160 FREEDOM LN NE
Address 2: UNIT D
City: Lacey
State: Washington
ZIP Code: 98516
Phone: (360) 455-4425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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