Individual provider · Type 1 NPI

Carmine John Petracca, OD

Optometrist · Lewiston, ID

NPI number 1457468613 Active

Practice location

939 Bryden
Lewiston, ID 83501-5097

Fax (208) 746-8042

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000XODP634 (ID)

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 e…

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About NPI 1457468613

Carmine John Petracca, OD's National Provider Identifier is 1457468613, issued on Aug 24, 2006. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Lewiston, ID. The record was last updated on Jul 8, 2007.