Tanya Victoria Petruk, OD
NPI 1487515474ActiveIndividual· Optometrist· Lacey, WA
Optometrist (OD) with Aeg Washington Professional PC, practicing in Lacey, Washington. Enrolled in Medicare as practitioner - optometry.
Overview
| NPI | 1487515474 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | Yes |
| NPI issued | Nov 19, 2025 |
| Last updated in NPPES | Nov 19, 2025 |
| Certified by provider | Nov 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OD.OD.70055125 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (WA) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Optometry |
Medical group
- Aeg Washington Professional PCKent, WA · 62 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 optometrists in Lacey · All optometrists in Washington