Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN JOHN PETRACCA, O.D.
ActiveDR. BRIAN JOHN PETRACCA, O.D. is a Optometrist healthcare provider located in DEMING, New Mexico. NPI 1457502221 is currently active in the NPPES registry. Verify at CMS.
Optometrist · DEMING, NM
Registration Details
- NPI Number
- 1457502221
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2008 (17.847970357478 yrs)
- Last Updated
- Apr 25, 2023
- License
-
592 (NM)
Practice Information
- Address
-
1515 S 8TH STDEMING, NM, 880304940Browse NM providers · Browse ZIP 88030
- Phone
- 5755443937
- Fax
- 5755462870
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in DEMING, NM
| Name | Credential | NPI |
|---|---|---|
| ROBERTO A MOLINA | — | 1962544841 |
| BRYCE S JOHNSON | OD | 1952897019 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.