Le, Tracy Thao

Le, Tracy Thao is an individual health care provider with primary practice located at 301 N Jackson Ave Suite 1, San Jose CA 95133-2344. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Le, Tracy Thao can be contacted via phone (408) 259-1818.

Contact Information

Primary practice address
301 N Jackson Ave Suite 1 San Jose CA 95133-2344
Phone: (408) 259-1818
Fax: (408) 259-1871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT11478T California

Profile Details

NPI number 1396730719
LBN Legal business name Le, Tracy Thao
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 13th, 2026 - about 4 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396730719 NPPES
California MEDICAID SD0114780

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