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

Dr. Michael S Petronack, OD

Individual provider Optometrist · NPI 1295891596

Dr. Michael S Petronack, OD is an Optometry in Hugo, Minnesota. Graduated from Illinois College of Optometry at Chicago in 1994, 32 years ago. Practices with Eagan Eye Clinic LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
32
Trained at
Illinois College of Optometry at Chicago
Licensed in
MN
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

5679 147th St N
Hugo, MN 55038-9302
Phone: (651) 762-9545
Fax: (651) 762-9542
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2544 (MN)

Record details

NPI number1295891596
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 29, 2006
Last updated in NPPESJune 27, 2013
Mailing address5679 147th St N, Hugo, MN 55038-9302

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1994 (32 years in practice)
Group practice Eagan Eye Clinic Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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