Phillips, Tracy A

Phillips, Tracy A is an individual health care provider with primary practice located at 336 El Camino Real , San Carlos CA 94070-2408. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Phillips, Tracy A can be contacted via phone (650) 592-1820.

Contact Information

Primary practice address
336 El Camino Real San Carlos CA 94070-2408
Phone: (650) 592-1820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9334T California

Profile Details

NPI number 1619960408
LBN Legal business name Phillips, Tracy A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated May 7th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619960408 NPPES
Other DC884A MEDICARE PTAN

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