DR. CHRISTINA MARIE PETROU (NPI# 1912945338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912945338 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINA MARIE PETROU |
| Other Name | DR. CHRISTINA MARIE PETROU-HAEFS |
| Credential | O.D. |
| Practice Address |
7040 N Port Washington Rd Suite 420 Glendale WI 53217-3885 |
| Mailing Address |
1530 E Goodrich Ln Fox Point WI 53217-2951 |
| Practice Telephone | 4142472020 |
| Mailing Telephone | 4148398379 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2012-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2387-035 | WI | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
2387 | WI | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
2387-035 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | PTAN | 2718 | 01 |
| WI | 38575400 | 05 |
| 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 |
| 1891068599 | Petrou-haefs Eyecare, LLC | Clinic/Center | 7040 N Port Washington Rd, Suite 420, Glendale, WI 53217-3885 | 2012-02-12 |
| 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 |
| 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 | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653528 | Kelsey Harraghy | Optometrist | 7700 W Arrowhead Towne Ctr Ste 1136, Glendale, AZ 85308-0926 | 2020-09-14 |
| 1205394533 | Ani Grigoryan | Optometrist | 1577 E Chevy Chase Dr Ste 120, Glendale, CA 91206-4193 | 2019-03-05 |
| 1578041356 | Lilit Javadian | Optometrist | 413 E Glenoaks Blvd Ste B, Glendale, CA 91207-2013 | 2018-08-02 |
| 1063999027 | Clarissa Orzell | Optometrist | 7700 W Arrowhead Towne Ctr Ste 2130, Glendale, AZ 85308-0929 | 2018-07-23 |
| 1518443472 | Zachary William Miller | Optometrist | 5707 W Northern Ave Ste 106, Glendale, AZ 85301-1355 | 2018-07-13 |
| 1568958734 | Dominic Rentz | Optometrist | 14185 W Falcon St, Glendale, AZ 85309-1601 | 2018-07-10 |
| 1659867901 | Shakeh Bagdassar Eye To Eye Optometry | Optometrist | 1101 N Pacific Ave Ste 105, Glendale, CA 91202-4314 | 2018-07-10 |
| 1215421573 | Shihchun Tai | Optometrist | 8016 Cooper Ave # 3, Glendale, NY 11385-7741 | 2018-06-20 |
| 1568977189 | West Point Optical Group | Optometrist | 7870 W Bell Rd, Glendale, AZ 85308-8621 | 2017-12-05 |
| 1548779952 | Vahe Arutyunyan | Optometrist | 204 E Maple St, Glendale, CA 91205-2110 | 2017-09-28 |
| 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.