Active NPI
Viorica Andronache Petrescu Petersen
- Contact Lens Fitter
- Hollywood, FL
National Provider Identifier
1740662014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contact Lens Fitter
- 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
- Last updated
- Jun 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DO5803 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- Samir Ahmad Peshimam, M.D.
- Peter Salerno DO PA
- Peter Salerno, DO PA
- Peter the Great II LLC (Hollywood Beach Retirement Home II)
- Petersen & Petrescu Assoc.LLC (Lux Optica by Vio)
- Samuel Pevzner, MD, PHD
- Peyu Health Care LLC (Merriment Assisted Living Residence)
- Glenn Phagan, M.D
- Brian Ing Pham
- Danh Pham, PHARMD
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.