PETROU-HAEFS EYECARE, LLC (NPI# 1891068599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891068599 |
| Entity Type | Organization |
| Organization Name | PETROU-HAEFS EYECARE, LLC |
| Other Organization Name | PETROU EYE CARE |
| Practice Address |
7040 N Port Washington Rd Suite 420 Glendale WI 53217-3885 |
| Practice Telephone | 4148398379 |
| Mailing Telephone | 4148398379 |
| Enumeration Date | 2012-02-12 |
| Last Update Date | 2012-02-12 |
| Authorized Official Name | DR. CHRISTINA PETROU (OPTOMETRIST) |
| Authorized Official Telephone | 4148398379 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 2387-035 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 385755400 | 05 |
| Other Name | Type Code |
|---|---|
| Petrou Eye Care | Doing Business As Name - Organization |
| Street Address |
7040 N PORT WASHINGTON RD SUITE 420 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217-3885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821047283 | James Edward Berman | Dermatology | 7040 N Port Washington Rd, Suite 404, Glendale, WI 53217-3885 | 2006-05-10 |
| 1245506971 | Forefront Dermatology, S.c. | Dermatology | 7040 N Port Washington Rd, Suite 404, Glendale, WI 53217 | 2012-03-27 |
| 1114183126 | Liberty Ann Boucher | Dentist | 7040 N Port Washington Rd, Glendale, WI 53217-3838 | 2008-07-30 |
| 1427234723 | Joseph L Gaffney | Dentist | 7040 N Port Washington Rd, Glendale, WI 53217-3838 | 2008-01-16 |
| 1972710077 | Daniel C Ross | Student in an Organized Health Care Education/Training Program | 7040 N Port Washington Rd, Glendale, WI 53217-3838 | 2007-05-17 |
| 1265562631 | Wisconsin Dental Group,s.c. | Dentist | 7040 N Port Washington Rd, Glendale, WI 53217-3838 | 2007-03-06 |
| 1003946252 | Wisconsin Dental Group, S.c. | Dentist | 7040 N Port Washington Rd, Glendale, WI 53217-3838 | 2007-03-06 |
| 1346380979 | James Lipinski | Dentist | 7040 N Port Washington Rd, Ste 414, Glendale, WI 53217-3838 | 2007-02-06 |
| 1508936154 | Northeast Obgyn Sc | Obstetrics & Gynecology | 7040 N Port Washington Rd, Suite 400, Glendale, WI 53217-3838 | 2006-11-09 |
| 1942380522 | Stephanie Ann Murphy | Dentist | 7040 N Port Washington Rd, 410, Glendale, WI 53217-3838 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | 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). |
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| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1427618750 | Chiron Trine | Clinic/Center | 1915 Broadview Dr, Glendale, CA 91208-1201 | 2019-06-18 |
| 1487131603 | Joseph Mazzei Integrative Medicine Pllc | Clinic/Center | 18185 N 83rd Ave Ste 209, Glendale, AZ 85308-0519 | 2018-07-20 |
| 1528557352 | Central Medical Business Management | Clinic/Center | 1141 N Brand Blvd Ste 404, Glendale, CA 91202-2973 | 2018-05-07 |
| 1912432873 | Pro Sleep Testing | Clinic/Center | 16222 N 59th Ave Ste D170, Glendale, AZ 85306-1708 | 2017-04-27 |
| 1649638263 | Wellness Works | Clinic/Center | 540 W. Broadway, Glendale, CA 91204-1120 | 2016-02-10 |
| 1104214113 | Kasra Navabi Md | Clinic/Center | 3217 N Verdugo Rd, #2, Glendale, CA 91208-1672 | 2014-12-26 |
| 1932490422 | John F Madden Md PC | Clinic/Center | 10040 N 43rd Ave, 2b, Glendale, AZ 85302-2770 | 2011-05-02 |
| 1124291091 | South Coast Medical & Therapy, Inc. | Clinic/Center | 138 N Brand Blvd Ste 200, Glendale, CA 91203-4617 | 2008-04-10 |
| 1467653451 | Boghossian & Martikian Chiropractic Inc | Clinic/Center | 435 Arden Ave Ste 120, Glendale, CA 91203-4028 | 2007-05-29 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.