Tracy Optometry Group, Inc in Tracy - Optometrist

Tracy Optometry Group, Inc - NPI 1740409648

Tracy Optometry Group, Inc is a Optometrist in Tracy, California. Tracy Optometry Group, Inc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Tracy Optometry Group, Inc is 1740409648. The last update date is 2008-02-14.

Tracy Optometry Group, Inc's current location address is 36 W 10th St, Tracy, California. You can contact this provider via phone number 2098357446 and fax number 2098353572. The mailing address for Tracy Optometry Group, Inc is 36 W 10th St, Tracy, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tracy Optometry Group, Inc
Address 36 W 10th St, Tracy, California
Phone Number 2098357446
Fax Number 2098353572
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Moline C David
Credentials 0.D.
Telephone Number 2098357446

NPI Number Detail

NPI Number 1740409648
Provider Enumeration Date 2007-04-25
Last Updated Date 2008-02-14

Provider Mailing Address Detail

Address 36 W 10th St
City Tracy
State California (CA)
Post Code 953763902
Phone Number 2098357446
Fax Number 2098353572

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No COR1056
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GSD005210 CA --

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FAQs about Tracy Optometry Group, Inc

What is the unique provider identifier assigned to Tracy Optometry Group, Inc?

The Tracy Optometry Group, Inc has been issued the NPI (National Provider Identifier) 1740409648 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Tracy Optometry Group, Inc is physically located?

The Tracy Optometry Group, Inc is situated at the following address: 36 W 10Th St, Tracy, CA 953763902.

What is Tracy Optometry Group, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Tracy Optometry Group, Inc is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1740409648 to Tracy Optometry Group, Inc?

The Centers for Medicare & Medicaid Services originally issued the 1740409648 to Tracy Optometry Group, Inc on 2007-04-25.

As of what date were the details pertaining to Tracy Optometry Group, Inc last refreshed?

The information related to the Tracy Optometry Group, Inc, including its address, specialty, and other relevant details, was last updated on 2008-02-14.

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