Individual provider Active NPI

Viorica Andronache Petrescu Petersen

  • Contact Lens Fitter
  • Hollywood, FL
National Provider Identifier
1740662014
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Contact Lens FitterTaxonomy code 156FC0801X
Practice address
3800 S Ocean Dr
Suite G-9
Hollywood, FL 33019-2927
Phone
(954) 456-3808
Fax
(954) 454-1012
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Fitter 156FC0801X Primary
Optician 156FX1800X DO5803 FL

Addresses

Primary practice location

3800 S Ocean Dr
Suite G-9
Hollywood, FL 33019-2927

Mailing address

3800 S Ocean Dr
Suite G-9
Hollywood, FL 33019-2927
Phone (954) 456-3808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO5803FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Petersen & Petrescu Assoc.LLC Optician Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1740662014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR",
            "address_2": "SUITE G-9",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192927",
            "telephone_number": "954-456-3808",
            "fax_number": "954-454-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR",
            "address_2": "SUITE G-9",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192927",
            "telephone_number": "954-456-3808",
            "fax_number": "954-454-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRESCU PETERSEN",
        "first_name": "VIORICA",
        "middle_name": "ANDRONACHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO5803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.