Jennifer Marie Petruska in Vienna - Optometrist
Jennifer Marie Petruska - NPI 1346345121
Jennifer Marie Petruska is a Optometrist in Vienna, Virginia. Jennifer Marie Petruska practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jennifer Marie Petruska is 1346345121. The last update date is 2020-10-28.
Jennifer Marie Petruska's current location address is 1950 Old Gallows Rd Ste 520, Vienna, Virginia. You can contact this provider via phone number 7038478899 and fax number 5712236780. The mailing address for Jennifer Marie Petruska is 1950 Old Gallows Rd Ste 520, Vienna, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jennifer Marie Petruska |
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Address | 1950 Old Gallows Rd Ste 520, Vienna, Virginia |
Phone Number | 7038478899 |
Fax Number | 5712236780 |
Sole Proprietor | N |
Credentials | OD |
NPI Number Detail
NPI Number | 1346345121 |
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Provider Enumeration Date | 2006-09-14 |
Last Updated Date | 2020-10-28 |
Provider Mailing Address Detail
Address | 1950 Old Gallows Rd Ste 520 |
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City | Vienna |
State | Virginia (VA) |
Post Code | 221823970 |
Phone Number | 7038478899 |
Fax Number | 5712236780 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 27OA00609400 |
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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What is the unique identification code assigned to Jennifer Marie Petruska by the Centers for Medicare & Medicaid Services?
The Jennifer Marie Petruska has been issued the NPI (National Provider Identifier) 1346345121. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jennifer Marie Petruska?
The Jennifer Marie Petruska is physically situated at 1950 Old Gallows Rd Ste 520, in the city of Vienna, state of VA, with the postal code 221823970.
What is Jennifer Marie Petruska's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer Marie Petruska is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1346345121 to Jennifer Marie Petruska?
The Jennifer Marie Petruska received its 1346345121 assignment from the Centers for Medicare & Medicaid Services on 2006-09-14.
When was the information pertaining to Jennifer Marie Petruska most recently updated or revised?
The details related to Jennifer Marie Petruska, including its address, specialty, and other relevant information, were last updated or revised on 2020-10-28.