Paul Tracy Od

LBN: Paul Tracy Od
Paul Tracy Od is an health care organization with primary practice located at 3650 Stardust Dr , Hannibal MO 63401-2480. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Paul Tracy Od can be contacted via phone (573) 406-1503, or through Tracy, Paul D via phone (573) 406-1503.

Contact Information

Primary practice address
3650 Stardust Dr Hannibal MO 63401-2480
Phone: (573) 406-1503
Fax: (573) 406-1057
Website:
Map and Directions
Authorized official contact:
Name: Tracy, Paul D Doctor of Optometry (OD)
Phone: (573) 406-1503

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2001020432 Missouri

Profile Details

NPI number 1043485949
LBN Legal business name Paul Tracy Od
DBA Doing business as
Authorized official Tracy, Paul D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2008
Last updated Dec 18th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043485949 NPPES
Missouri Other 39941018 BLUECROSS BLUE SHIELD

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