FRED E PETRUNAK OD NPI 1700844024

NPI Information

  • NPI: 1700844024
  • Provider Name: FRED E PETRUNAK, OD
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1418 11TH AVENUE
    ALTOONA, PA
    ZIP 16601
  • Phone: (814) 946-3937

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NPI Details

Fred E Petrunak, OD is an optometrist in Altoona, PA with 47 years of experience. The provider is 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. Fred E Petrunak, OD NPI is 1700844024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year:1978

The provider's business location address is:

1418 11TH AVENUE
ALTOONA, PA
ZIP 16601
Phone: (814) 946-3937
Fax: (814) 946-3937

The NPI 1700844024 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Photography of the retina (HCPCS:92250)
  • Exam of visual field with limited testing (HCPCS:92081)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Imaging of retina (HCPCS:92134)
  • Photography of content of eyes (HCPCS:92285)
  • Imaging of optic nerve (HCPCS:92133)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Imaging of front third of eye using a special microscope (HCPCS:92286)
  • Microfluid analysis of tears (HCPCS:83861)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Exam to measure eye deviation and range of motion (HCPCS:92060)
  • Evaluation of eye adaptation to light and dark (HCPCS:92284)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 5/3/2006 and was last updated on 12/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristOEG000566PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10014776200002MEDICAIDPENNSYLVANIA
290107ME2MEDICARE PINPENNSYLVANIA
3T28416MEDICARE UPIN
41213910004MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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