MIKHAIL PETROV,O.D.,INC. (NPI# 1770627804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770627804 |
| Entity Type | Organization |
| Organization Name | MIKHAIL PETROV,O.D.,INC. |
| Practice Address |
440 Polaris Pkwy Suite 325 Westerville OH 43082-6999 |
| Practice Telephone | 6144369600 |
| Practice Fax Number | 6142596546 |
| Mailing Telephone | 6144369600 |
| Mailing Fax Number | 6142596546 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2014-05-07 |
| Authorized Official Name | DR. MIKHAIL PETROV (PRESIDENT) |
| Authorized Official Telephone | 6144369600 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4909 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2516263 | 05 |
| Street Address |
440 POLARIS PKWY SUITE 325 |
| City | WESTERVILLE |
| State | OH |
| Zip Code | 43082-6999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063967511 | The Cataract Vision Institute LLC | Clinic/Center | 440 Polaris Pkwy, Suite 325, Westerville, OH 43082-6999 | 2016-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023501509 | Taylor Wucinich | Audiologist | 387 County Line Rd W Ste 116, Westerville, OH 43082 | 2018-06-11 |
| 1366940132 | Hogan Nicklaus Marshall | Specialist/Technologist | 7118 Mount Royal Ave, Westerville, OH 43082 | 2018-01-26 |
| 1356858450 | Margaret Adams | Chiropractor | 387 County Line Rd. W, 215, Westerville, OH 43082 | 2018-01-10 |
| 1326407701 | Heidi A. Stauffer Dds | Dentist | 124 County Line Rd W, Suite A, Westerville, OH 43082 | 2016-02-15 |
| 1629324553 | Mavis Asamoah | Licensed Practical Nurse | 5401 Country Meadow Ct, Westerville, OH 43082 | 2012-07-30 |
| 1326283698 | Amy Lyn Gosnell | Dermatology | 300 Polaris Pkwy Ste 3300, Westerville, OH 43082 | 2008-12-15 |
| 1215186705 | Molly Hauer | Nursing Facility/Intermediate Care Facility | 7017 Laver Ln, Westerville, OH 43082 | 2008-09-09 |
| 1013181205 | Tridia Hospice Care, Inc. | Hospice Care, Community Based | 110 Polaris Pkwy Ste 302, Westerville, OH 43082 | 2008-04-17 |
| 1174702070 | Kathryn J Watkins Younkin | Dentist | 450 Alkyre Run Dr, Suite 290, Westerville, OH 43082 | 2007-10-26 |
| 1033300900 | Audrey Jones | Student in an Organized Health Care Education/Training Program | 187 W. Schrock Rd, Children's Hospital Guidance Center, Westerville, OH 43082 | 2007-08-06 |
| Find all providers in zip 43082 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972061687 | Westerville Eyecare Inc | Optometrist | 925 N State St Ste J, Westerville, OH 43082-8023 | 2019-03-12 |
| 1346727203 | Caitlin Hastilow | Optometrist | 605 Brockhampton Ln Unit 204, Westerville, OH 43082-7560 | 2018-07-24 |
| 1316281439 | Angela Jean Beal | Optometrist | 113 Westerville Plz, Westerville, OH 43081 | 2012-11-15 |
| 1801051206 | Jacob Alan Olding | Optometrist | 484 County Line Rd W Ste 120, Westerville, OH 43082-7110 | 2008-07-24 |
| 1114195559 | Todd M. Clark, Od | Optometrist | 550 S Cleveland Ave Ste D, Westerville, OH 43081-8958 | 2008-02-20 |
| 1720290208 | Mobile America Visioncare, Inc. | Optometrist | 570 N. State Street, Suite 210, Westerville, OH 43082-7135 | 2007-05-04 |
| 1720205743 | Elisabeth J Binnig | Optometrist | 570 N State St Ste 210, Westerville, OH 43082-7135 | 2007-04-19 |
| 1902924970 | Professional Visioncare, Inc | Optometrist | 937 Polaris Woods Blvd, Suite B, Westerville, OH 43082-8076 | 2007-03-27 |
| 1912083452 | Stephen George Hirt | Optometrist | 487 Lazelle Rd, Westerville, OH 43081-9540 | 2006-10-27 |
| 1710070560 | Christina P Kesslar | Optometrist | 555 West Shrock Rd, Suite B, Westerville, OH 43081 | 2006-10-02 |
| Find all providers in WESTERVILLE | ||||
| City | WESTERVILLE |
| Zip Code | 43082 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.