Custom Contact Lens

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CUSTOM CONTACT LENS

Practice address

107 Twinridge LN
Richmond, VA 23235-5241

Phone

(804) 320-0078

NPI assigned

Oct 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Christodoulos Michael Petras, M.D.NPI 1003873100

Title

Sobic

Phone

(804) 320-0078

Specialties & licenses 1

Addresses

Other names 1

• Custom Optics Other name

Locations

Practitioners 1

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

• Christodoulos M Petras, M.D.

  • Ophthalmology Physician
  • North Chesterfield, VA
  • NPI 1003873100
  NPD (past) Authorized official

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1811149255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TWINRIDGE LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232355241",
            "telephone_number": "804-320-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TWINRIDGE LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232355241",
            "telephone_number": "804-320-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CONTACT LENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "PETRAS",
        "authorized_official_first_name": "CHRISTODOULOS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SOBIC",
        "authorized_official_telephone_number": "804-320-0078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Optics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley King Curtis, PMHNP
• Darcella L. Curtis, CRNA
• Richard E Curtis Jr., MD
• Lisa Ann Cuseo-Ott, PH.D.
• Michaelene Custodio, PHARMACIST
• Monica Cutchin
• Andrew Scott Cuthbert
• Nathaniel W Cuthbert, M.D.
• Devin Annmarie Cutlip, OTD
• Carolyn B Cutright, RPH

• Eyewear Supplier in Richmond, VA
• Providers in Richmond, VA by specialty
• Eyewear Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.