Dr. Christodoulos M Petras
Ophthalmologist
8303 Poplar Hollow Trl
North Chesterfield
, Virginia 23235-4678
Dr. Christodoulos M Petras
Ophthalmologist
8303 Poplar Hollow Trl
North Chesterfield
, Virginia 23235-4678
(804) 241-0138
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Christodoulos M Petras
- 8303 Poplar Hollow Trl
- North Chesterfield, VA
- Zip : 23235-4678
- Phone : (804) 241-0138
Second Address
- Dr. Christodoulos M Petras
- 8303 Poplar Hollow Trl
- North Chesterfield, VA
- Zip : 23235-4678
- Phone : (804) 241-0138
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 0101030616 | VA |
National Provider Identifier
| NPI | 1003873100 |
|---|---|
| Provider Name | Dr. Christodoulos M Petras |
| First Address | North Chesterfield, VA 23235-4678 |
| Second Address | North Chesterfield, VA 23235-4678 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 20/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B10015 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.