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MIKHAIL PETROV O.D.
NPI 1164632139
Optometrist in Columbus, OH

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
2358 E MAIN ST, COLUMBUS, OH 43209(614) 235-9393(614) 235-6363 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mikhail Petrov O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKHAIL PETROV O.D. (NPI 1164632139) is an individual optometrist in Columbus, Ohio, licensed in Ohio (4909) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1164632139
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMIKHAIL PETROVCredential: O.D.
Location Address2358 E MAIN STColumbus, OH 43209-2422
Mailing Address2358 E Main StColumbus, OH 43209-2422 · (614) 235-9393 · Fax (614) 235-6363
Phone(614) 235-9393
Fax(614) 235-6363
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164632139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 4909
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2358 E MAIN ST, Columbus, OH 43209
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Other Identifiers 3

Medicare UPINU97693OH
Medicare ID-Type UnspecifiedPE4122061OH
Medicaid2516263OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mikhail Petrov O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274436233
PECOS Enrollment IDI20040129000213
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikhail Petrov's NPI number?

The NPI number for Mikhail Petrov is 1164632139. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Mikhail Petrov located?

Mikhail Petrov practices at 2358 E Main St, Columbus, OH 43209. The listed phone number is (614) 235-9393.

What is Mikhail Petrov's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mikhail Petrov enrolled in Medicare?

Yes. Mikhail Petrov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mikhail Petrov accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Mikhail Petrov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mikhail Petrov was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.