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

Dr. Carmine John Petracca, OD

Individual provider Optometrist · NPI 1457468613

Dr. Carmine John Petracca, OD is an Optometrist in Lewiston, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
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

939 Bryden
Lewiston, ID 83501-5097
Phone: (208) 743-1761
Fax: (208) 746-8042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP634 (ID)

Record details

NPI number1457468613
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESJuly 8, 2007

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