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

Individual provider Optometrist · NPI 1164632139

Mikhail Petrov, OD is an Optometry in Columbus, Ohio. Qualified in 1987, 39 years ago. Practices with Aeg Ohio Professional PC, a 78-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
39
Licensed in
OH
In the registry since
2007
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

2358 E Main St
Columbus, OH 43209-2422
Phone: (614) 235-9393
Fax: (614) 235-6363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4909 (OH)

Record details

NPI number1164632139
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2358 E Main St, Columbus, OH 43209-2422

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Aeg Ohio Professional Pc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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