Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANYA VICTORIA PETRUK, OD
Active Sole ProprietorTANYA VICTORIA PETRUK, OD is a Optometrist healthcare provider located in LACEY, Washington. NPI 1487515474 is currently active in the NPPES registry. Verify at CMS.
Optometrist · LACEY, WA
Registration Details
- NPI Number
- 1487515474
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2025 (0.59032540297619 yrs)
- Last Updated
- Nov 19, 2025
- License
-
OD.OD.70055125 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8160 FREEDOM LN NEUNIT DLACEY, WA, 98516Browse WA providers · Browse ZIP 98516
- Phone
- 3604554425
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in LACEY, WA
| Name | Credential | NPI |
|---|---|---|
| DR. CARRIE LEANN WATTERS | OD | 1215924923 |
| MRS. CONSTANCE HOWE | OD | 1437113230 |
| JOANNA HAWS | O.D. | 1043252323 |
| CRAIG ROUSE | — | 1720021330 |
| DR. JOSEPH W GLANDON | O.D. | 1356457436 |
| DR. DAWN M. LEE | O.D. | 1225199565 |
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.