Asmus, Tracey Lynn
Asmus, Tracey Lynn is an individual health care provider with primary practice located at 2691 Berlin Tpke , Newington CT 06111-4114. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Asmus, Tracey Lynn can be contacted via phone (860) 594-4585.Contact Information
Primary practice address
2691 Berlin Tpke
Newington CT 06111-4114
Phone: (860) 594-4585
Fax: (860) 667-4377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002561 | Connecticut |
Profile Details
| NPI number | 1053341701 |
|---|---|
| LBN Legal business name | Asmus, Tracey Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Aug 20th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053341701 | NPPES |
| Connecticut | Other | 11241145 | CAQH |
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