Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Brian John Petracca, OD

Individual provider Optometrist · NPI 1457502221

Dr. Brian John Petracca, OD is an Optometry in Deming, New Mexico. Graduated from Pacific University - College of Optometry in 2008, 18 years ago. Practices with Southwestern Eye Center Ltd, a 117-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
18
Trained at
Pacific University - College of Optometry
Licensed in
NM
In the registry since
2008
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1515 S 8th St
Deming, NM 88030-4940
Phone: (575) 544-3937
Fax: (575) 546-2870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 592 (NM)

Record details

NPI number1457502221
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 9, 2008
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023
Mailing address4800 N 22nd St Ste 210, Phoenix, AZ 85016-4963

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2008 (18 years in practice)
Group practice Southwestern Eye Center Ltd — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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