Dr. Michael Petruska, O.D.
Optometrist in Phillipsburg, NJ. Individual provider (NPI-1).
NPI number1508970856
StatusActive
Last updated in NPPESMay 14, 2009
Details
- NPI
- 1508970856
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Petruska
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- May 14, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 27OA00616700 | NJ | Yes |
Practice location
1326 Belvidere RdPhillipsburg, NJ 08865-2004
Phone 908-454-2300 · Fax 908-454-1661
Mailing address
1326 Belvidere RdPhillipsburg, NJ 08865-2004
Phone 908-454-2300 · Fax 908-454-1661
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Optometrist providers in Phillipsburg, NJ
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- Shereen Hakki, PHD ODNPI 1639271919
- James F. Kline, O. D.NPI 1801975214
- Daniel Kohansby, O.D.NPI 1043202492
- Michael Petruska Od PCNPI 1548416910
- National Vision INCNPI 1689215782
All 9 Optometrist providers in Phillipsburg · All 900 providers in Phillipsburg
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