National Provider Identifier Database

BRIAN J PETRACCA, OD – NPI #1457502221
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.


Contact Information

BRIAN J PETRACCA, OD
1515 S 8TH ST
DEMING, NM88030-4940
Phone: 575-544-3937
Fax: 575-546-2870
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for BRIAN J PETRACCA

NPI Number 1457502221
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/09/2008
Last updated 04/25/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 592
  • NM Medicaid: 14224283
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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