Christodoulos M Petras, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101030616 Issued in VA

Practice address

8303 Poplar Hollow TRL
North Chesterfield, VA 23235-4678

Phone

(804) 241-0138

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Custom Contact Lens

  • Eyewear Supplier
  • Richmond, VA
  • NPI 1811149255
  NPD (past) Authorized official
• David M Harman MD LLC

  • Ophthalmology Physician
  • Forest, VA
  • NPI 1306950431
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1003873100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 POPLAR HOLLOW TRL",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354678",
            "telephone_number": "804-241-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 POPLAR HOLLOW TRL",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354678",
            "telephone_number": "804-241-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAS",
        "first_name": "CHRISTODOULOS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101030616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamiyah Danielle Perry, LMHP-S
• Robert Lewis Peskind, M.D.
• Michelle Peters
• Dawn Louise Peterson-Lewis, LPC
• Tamera Peterson
• Laura Petrozza, PHARMD, RPH
• Angela Dawn Cheatham Petry, LPC
• Jeannette Pfeffer, PT,DPT
• Brian Phelps, M.ED., BCBA, LBA
• Nichole Aura Phillips, LPC

• Ophthalmology Physician in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.