Active NPI
Michael Steven Petrik, MSC, OD
- Optometrist
- Dedham, MA
National Provider Identifier
1649189226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD60328326
- Practice address
- 990 Washington St Ste 102
Dedham, MA 02026-6715 - Phone
- (954) 592-0052
- NPI assigned
- Sep 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD60328326 | WA | Primary |
Addresses
Primary practice location
990 Washington St Ste 102
Dedham, MA 02026-6715
Mailing address
701 Harrison Ave Unit 1244
Blaine, WA 98231-7061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1649189226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 HARRISON AVE UNIT 1244",
"city": "BLAINE",
"state": "WA",
"postal_code": "982317061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 WASHINGTON ST STE 102",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020266715",
"telephone_number": "954-592-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRIK",
"first_name": "MICHAEL",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "MSC, OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD60328326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.