Tracey L. Yothers in Dallas - Optometrist

Tracey L. Yothers - NPI 1356404008

Tracey L. Yothers is a Optometrist in Dallas, Texas. Tracey L. Yothers practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Tracey L. Yothers is 1356404008. The last update date is 2010-07-08.

Tracey L. Yothers's current location address is 7306 Blackwillow Ln, Dallas, Texas. You can contact this provider via phone number 9722987249 and fax number 9722986740. The mailing address for Tracey L. Yothers is 7306 Blackwillow Ln, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracey L. Yothers
Address 7306 Blackwillow Ln, Dallas, Texas
Phone Number 9722987249
Fax Number 9722986740
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1356404008
Provider Enumeration Date 2006-12-17
Last Updated Date 2010-07-08

Provider Mailing Address Detail

Address 7306 Blackwillow Ln
City Dallas
State Texas (TX)
Post Code 752491430
Phone Number 9722987249
Fax Number 9722986740

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 05168TG
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
00E52G TX GROUP BCBS NUMBER
176941601 TX --
T13054 TX INDIVIDUAL BCBS
21948 TX BLOCK MEDICAID LOCAT #
40972404 TX --
921409 TX INDIVIDUAL BLOCK MEDICAID

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FAQs about Tracey L. Yothers

What is the unique identifier code issued to Tracey L. Yothers by the Centers for Medicare & Medicaid Services (CMS)?

The Tracey L. Yothers has been assigned the NPI (National Provider Identifier) 1356404008. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Tracey L. Yothers?

The Tracey L. Yothers is physically situated at 7306 Blackwillow Ln, in the city of Dallas, state of TX, with the postal code 752491430.

What is Tracey L. Yothers's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tracey L. Yothers is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1356404008 to Tracey L. Yothers?

The Centers for Medicare & Medicaid Services originally issued the 1356404008 to Tracey L. Yothers on 2006-12-17.

As of what date were the details pertaining to Tracey L. Yothers last refreshed?

The information related to the Tracey L. Yothers, including its address, specialty, and other relevant details, was last updated on 2010-07-08.

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