Organization
MIKHAIL PETROV,O.D.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKHAIL PETROV O.D. (PRESIDENT)
(614) 436-9600
Entity
Organization
Contact information
Practice address
440 POLARIS PKWY, SUITE 325, WESTERVILLE, OH 43082-6999
(614) 436-9600
(614) 259-6546
Mailing address
440 POLARIS PKWY, SUITE 325, WESTERVILLE, OH 43082-6999
(614) 436-9600
(614) 259-6546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4909
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2516263
—
OH
Enumeration date
02/20/2007
Last updated
05/07/2014
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