Eric Jon Petecki in New Lenox - Optometrist
Eric Jon Petecki - NPI 1508940123
Eric Jon Petecki is a Optometrist in New Lenox, Illinois. Eric Jon Petecki practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Eric Jon Petecki is 1508940123. The last update date is 2020-04-17.
Eric Jon Petecki's current location address is 1230 N Cedar Rd Unit A, New Lenox, Illinois. You can contact this provider via phone number 8154856533 and fax number 8154856534. The mailing address for Eric Jon Petecki is 1230 N Cedar Rd Unit A, New Lenox, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Jon Petecki |
|---|---|
| Address | 1230 N Cedar Rd Unit A, New Lenox, Illinois |
| Phone Number | 8154856533 |
| Fax Number | 8154856534 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1508940123 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2020-04-17 |
Provider Mailing Address Detail
| Address | 1230 N Cedar Rd Unit A |
|---|---|
| City | New Lenox |
| State | Illinois (IL) |
| Post Code | 604511272 |
| Phone Number | 8154856533 |
| Fax Number | 8154856534 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46009282 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46009282 | IL | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Eric Jon Petecki by the Centers for Medicare & Medicaid Services?
The Eric Jon Petecki has been issued the NPI (National Provider Identifier) 1508940123, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Eric Jon Petecki's facilities are situated?
The facilities of Eric Jon Petecki are physically located at the following address: 1230 N Cedar Rd Unit A, New Lenox, IL, 604511272.
What is Eric Jon Petecki's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eric Jon Petecki is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
When was the Eric Jon Petecki's 1508940123 issued?
The Eric Jon Petecki's 1508940123 was issued on 2006-10-24.
When was the Eric Jon Petecki's information last updated?
The Eric Jon Petecki's information was last updated on 2020-04-17.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN