DR. DAVID JAMES PETRIK O.D.
NPI 1407150931
Optometrist in Pinon, AZ

Active since December 23, 2010PECOS EnrolledAccepts Medicare Assignment
NAVAJO ROUTE 4, PINON HEALTH CENTER, PINON, AZ 86510(928) 725-3220(928) 725-3613 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David James Petrik O.d. NPPES

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

DR. DAVID JAMES PETRIK O.D. (NPI 1407150931) is an individual optometrist in Pinon, Arizona, licensed in Pennsylvania (OEG002563) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2006).

NPPES Registry Identity

NPI1407150931
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DAVID JAMES PETRIKCredential: O.D.
Location AddressNAVAJO ROUTE 4, PINON HEALTH CENTERPinon, AZ 86510
Mailing AddressPo Box PhChinle, AZ 86503-8000 · (928) 674-7166
Fax(928) 725-3613
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2006
Enumeration DateDecember 23, 2010
Last NPPES UpdateFebruary 18, 2016
NPI 1407150931 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 PA · OEG002563
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.
NAVAJO ROUTE 4, Pinon, AZ 86510

Other Identifiers 2

Medicaid102711443PA
Medicare PIN239672

Accepted 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

Dr. David James Petrik 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 ID6608030408
PECOS Enrollment IDI20120607000026, I20251027001747
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 86510 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
NAVAJO ROUTE 4
PINON, AZ 86510
Physical Therapist
NAVAJO ROUTE 4
PINON, AZ 86510
Physical Therapist
NAVAJO ROUTE 4
PINON, AZ 86510
Psychologist
NAVAJO ROUTE 4, PINON HEALTH CARE CLINIC
PIONON, AZ 86510
Family Medicine
NAVAJO ROUTE 4
PINON, AZ 86510
Pharmacist
NAVAJO ROUTE 4
PINON, AZ 86510
Optometrist
NAVAJO ROUTE 4
PINON, AZ 86510
Social Worker
NAVAJO ROUTE 4
PINON, AZ 86510

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 David Petrik's NPI number?

The NPI number for David Petrik is 1407150931. It was assigned to this individual provider in the NPPES registry on December 23, 2010.

Where is David Petrik located?

David Petrik practices at Navajo Route 4 Pinon Health Center, Pinon, AZ 86510. The listed phone number is (928) 725-3220.

What is David Petrik's specialty?

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

Is David Petrik enrolled in Medicare?

Yes. David Petrik 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 David Petrik accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, AmeriHealth Caritas Next and Blue Cross and Blue Shield of Montana and 2 other insurers list David Petrik 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 David Petrik was last updated on February 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.