Jackson, Tracy A

Jackson, Tracy A is an individual health care provider with primary practice located at 424 W State Highway 5 , Waconia MN 55387-1723. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jackson, Tracy A can be contacted via phone (952) 442-4461.

Contact Information

Primary practice address
424 W State Highway 5 Waconia MN 55387-1723
Phone: (952) 442-4461
Fax: (952) 442-1218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2905 Minnesota

Profile Details

NPI number 1821177692
LBN Legal business name Jackson, Tracy A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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.

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