Organization
MICHAEL PETRUSKA OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PETRUSKA O.D. (PRESIDENT)
(484) 223-6930
Entity
Organization
Contact information
Practice address
2501 SHEILA LN, RICHMOND, VA 23225-2041
(804) 320-9457
(804) 320-9458
Mailing address
4379 EISENHOWER DR, BETHLEHEM, PA 18020-8937
(610) 759-0806
(610) 515-1679
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001776
PA
Other
Enumeration date
01/15/2007
Last updated
08/22/2020
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