Active NPIIndividual providerSole proprietor

Dr. Robert K Petrelli, OD

Optometrist in North Wildwood, New Jersey

NPI Number1699772988
Practice location
1400 New Jersey Ave, North Wildwood, NJ 08260-2738
Fax
609-522-3692
Last updated
July 8, 2007

Robert K Petrelli is an Optometrist based in North Wildwood, NJ. Robert K Petrelli practices in North Wildwood, NJ and has the professional credentials of OD. The NPI Number for Robert K Petrelli is 1699772988 and holds a License No. NJ3013 (NJ). The current practice location address for Robert K Petrelli is 1400 New Jersey Ave, North Wildwood, NJ 08260-2738 and can be reached out via phone at 609-522-4199 and via fax at 609-522-3692.

Provider Profile Details

NPI Number
1699772988
Provider Name
Robert K Petrelli
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
1400 New Jersey Ave, North Wildwood, NJ 08260-2738
Phone Number
609-522-4199
Fax Number
609-522-3692
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 1, 2005
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1400 New Jersey Ave
North Wildwood, NJ 08260-2738
Zip
08260-2738
Phone Number
609-522-4199
Fax Number
609-522-3692
North Wildwood, NJ 08260Get directions →

Provider Business Mailing Address Details

Address
1400 New Jersey Ave
North Wildwood, NJ 08260-2738
City
North Wildwood
State
NJ
Zip
08260-2738
Phone Number
609-522-4199
Fax Number
609-522-3692

License Information

License Number (1)
NJ3013
License State (1)
NJ
Taxonomy (1)
Optometrist · 152W00000X · Primary
License Number (2)
PA-OE004707L
License State (2)
PA
Taxonomy (2)
Optometrist · 152W00000X

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. Robert K Petrelli, OD?

The NPI number of Dr. Robert K Petrelli, OD is 1699772988. It was assigned on July 1, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Robert K Petrelli, OD?

Dr. Robert K Petrelli, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number NJ3013.

Where does Dr. Robert K Petrelli, OD practice?

The practice location is 1400 New Jersey Ave, North Wildwood, NJ 08260-2738. The office can be reached at 609-522-4199 (phone) or 609-522-3692 (fax).

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 1699772988 directly on the NPPES registry website.

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