Dr. Brian John Petracca is a Deming, New Mexico based male Optometrist with 16 years of experience in Optometry. He completed his graduation from Pacific University - College Of Optometry in 2008. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Brian John Petracca is 592 for Optometry in New Mexico. Dr. Brian John Petracca 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Brian John Petracca speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
16+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
2008
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1515 S 8th St, Deming, New Mexico, 88030-4940
Phone:
575-544-3937
Fax:
575-546-2870
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
PAC ID:
4183778319
Enrollment ID:
I20141210000408
NPI Number:
1457502221
NPI Enumeration Date:
09 Oct, 2008
NPI Last Update On:
25 Apr, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brian John Petracca are as mentioned below.
License Number
Specialization
State
Status
592
Optometry
New Mexico
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Brian John Petracca has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Southwestern Eye Center, Ltd (1850296989)
87
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Brian John Petracca such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
14224283
Medicaid
New Mexico
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4800 N 22nd St Ste 210, Phoenix, Arizona
Zip:
85016-4963
Phone Number:
480-892-8400
Fax Number:
602-508-4830
Patients can reach Dr. Brian John Petracca at 1515 S 8th St, Deming, New Mexico or can call to book an appointment on 575-544-3937. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.