Mikhail Petrov,O.D.,Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4909 Issued in OH

Legal business name

MIKHAIL PETROV,O.D.,INC.

Practice address

440 Polaris Pkwy
Suite 325
Westerville, OH 43082-6999

Phone

(614) 436-9600

Fax

(614) 259-6546

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mikhail Petrov, O.D.NPI 1164632139

Title

President

Phone

(614) 436-9600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikhail Petrov, O.D.

  • Optometrist
  • Columbus, OH
  • NPI 1164632139
  NPD (past) Authorized official
• Matthew Elliot Breslow, O.D.

  • Optometrist
  • Springfield, OH
  • NPI 1841428489
  NPD (past)
• Nadine Miranda Breslow, O.D.

  • Optometrist
  • Columbus, OH
  • NPI 1376830463
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1770627804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 POLARIS PKWY",
            "address_2": "SUITE 325",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826999",
            "telephone_number": "614-436-9600",
            "fax_number": "614-259-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 POLARIS PKWY",
            "address_2": "SUITE 325",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826999",
            "telephone_number": "614-436-9600",
            "fax_number": "614-259-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKHAIL PETROV,O.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "PETROV",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-436-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2516263",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Eye Consultants Ohio, Inc
• Midwest Medical Equipment Co
• Midwest Nursing Care, Inc.
• Midwest Nursing Care, Inc.
• Lydia A Mihaly, RBT
• Lauren N Miles, MED, BCBA
• Diana L Milheim, O.D.
• Alex Millard, BA
• Gary M Millard, DO
• Amber Miller

• Optometrist in Westerville, OH
• Providers in Westerville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.