PETROU EYE CARE – NPI #1891068599
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

PETROU EYE CARE is an AHC clinic located in GLENDALE, WI. NPPES has assigned the NPI number 1891068599 to PETROU EYE CARE on February 12, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PETROU EYE CARE” is a dba name, the actual legal business name for this organization is PETROU-HAEFS EYECARE, LLC. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PETROU EYE CARE below.

NPI Profile for
PETROU-HAEFS EYECARE, LLC

NPI Number
1891068599
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PETROU-HAEFS EYECARE, LLC
Doing Business As (dba): PETROU EYE CARE
Primary location
7040 N PORT WASHINGTON RD
SUITE 420
GLENDALE, WI 53217-3885
Phone: (414) 839-8379 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTINA PETROU
OPTOMETRIST
Phone: (414) 839-8379
Updated
Identifiers

Identifiers for PETROU EYE CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI385755400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
WI 2387-035

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.