DR. CHRISTODOULOS M PETRAS M.D. NPI 1003873100

Ophthalmology in Richmond, VA

About CHRISTODOULOS PETRAS

Christodoulos Petras is a provider in Richmond, VA with more than 41 years of experience. The NPI number assigned to this provider is 1003873100. The practitioner's primary taxonomy code is Ophthalmology (207W00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago. Christodoulos Petras is registered with Medicare and accepts claims assignment.

NPI1003873100 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. CHRISTODOULOS M PETRAS M.D.
Provider Location Address105 TWINRIDGE LN RICHMOND, VA 23235 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address105 TWINRIDGE LN RICHMOND, VA 23235 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
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).
Medical School NameMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year1977
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date05-01-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date11-29-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. CHRISTODOULOS M PETRAS M.D.
105 TWINRIDGE LN
RICHMOND, VA
ZIP 23235
Phone: (804) 320-8385
Fax: (804) 320-4442
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Mailing Address

DR. CHRISTODOULOS M PETRAS M.D.
105 TWINRIDGE LN
RICHMOND, VA
ZIP 23235
Phone: (804) 320-8385
Fax: (804) 320-4442

Primary Taxonomy

Taxonomy Code207W00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.0101030616
License StateVA
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
B10015MEDICARE UPIN (02)
180000084MEDICARE ID-TYPE UNSPECIFIED (04)

Map Location


DR. CHRISTODOULOS M PETRAS M.D. address is 105 TWINRIDGE LN RICHMOND, VA 23235