IndividualActive
Amy Petkus, O.D.
NPI 1750729869 · Optometrist · Valparaiso, IN
Provider details
- NPI number
- 1750729869
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 18003794 (IN)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
2106 Calumet Ave
Valparaiso, IN 46383-2708
Phone: (219) 464-8200
Fax: (219) 531-6804
Approximate (ZIP-level) locationGet directions
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Registry dates
- Enumerated
- 2013-06-11
- Last updated
- 2022-04-12
- Certified
- 2022-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.