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Contact Information

CHRISTINA M PETROU, OD
7040 N PORT WASHINGTON RD
SUITE 420
GLENDALE, WI53217-3885
 Phone: 414-247-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHRISTINA M PETROU · (Female)

NPI Number 1912945338
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/04/2006
Last updated 06/21/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2387
  • WI License # 2387-035
  • WI Medicaid 38575400
  • WI Other 2718 PTAN
Hospital affiliation(s) Not Available
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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