DR. CARMINE PETRACCA, OD
Optometrist
Active
Individual
NPI: 1457468613
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | ODP634 (ID) |
Frequently Asked Questions
NPI 1457468613 is the National Provider Identifier for DR. CARMINE PETRACCA, OD, a Optometrist provider located in Lewiston, ID. This NPI was enumerated on August 24, 2006.
DR. CARMINE PETRACCA, OD practices at 939 BRYDEN, Lewiston, ID 83501.
Quick Facts
- NPI
- 1457468613
- Type
- Individual
- Enumerated
- Aug 24, 2006
- Last Updated
- Jul 8, 2007
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