Active NPIIndividual provider

Dr. Michael S Petrik, MSC, OD

Optometrist in Dedham, Massachusetts

NPI Number1649189226
Practice location
990 Washington St Ste 102, Dedham, MA 02026-6715
Fax
—
Last updated
September 1, 2026

Michael Steven Petrik is an Optometrist based in Dedham, MA. Michael Steven Petrik practices in Dedham, MA and has the professional credentials of MSC, OD. The NPI Number for Michael Steven Petrik is 1649189226 and holds a License No. OD60328326 (WA). The current practice location address for Michael Steven Petrik is 990 Washington St Ste 102, Dedham, MA 02026-6715 and can be reached out via phone at 954-592-0052.

Provider Profile Details

NPI Number
1649189226
Provider Name
Michael Steven Petrik
Credential
MSC, OD
Provider Entity Type
Individual
Gender
Male
Address
990 Washington St Ste 102, Dedham, MA 02026-6715
Phone Number
954-592-0052
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
September 1, 2026
Last Update Date
September 1, 2026
Certification Date
September 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
990 Washington St Ste 102
Dedham, MA 02026-6715
City
Dedham
Zip
02026-6715
Phone Number
954-592-0052
Dedham, MA 02026Get directions →

Provider Business Mailing Address Details

Address
701 Harrison Ave Unit 1244
Blaine, WA 98231-7061
City
Blaine
State
WA
Zip
98231-7061

License Information

License Number
OD60328326
License State
WA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michael S Petrik, MSC, OD?

The NPI number of Dr. Michael S Petrik, MSC, OD is 1649189226. It was assigned on September 1, 2026 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael S Petrik, MSC, OD?

Dr. Michael S Petrik, MSC, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in WA under license number OD60328326.

Where does Dr. Michael S Petrik, MSC, OD practice?

The practice location is 990 Washington St Ste 102, Dedham, MA 02026-6715. The office can be reached at 954-592-0052 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649189226 directly on the NPPES registry website.

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