IndividualActive
Carisa Petris, M.D.
NPI 1962630673 · Ophthalmic Plastic and Reconstructive Surgery Physician · Columbia, MO
Provider details
- NPI number
- 1962630673
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- T2009017018 (MO)
Practice location
1 Hospital Dr
Columbia, MO 65201-5276
Phone: (573) 882-8885
Fax: (573) 884-4808
Mailing address
1 Hospital Dr
Columbia, MO 65201-5276
Registry dates
- Enumerated
- 2009-07-01
- Last updated
- 2024-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.