Scasta, Tracey Love

Scasta, Tracey Love is an individual health care provider with primary practice located at 1550 Copperfield Pkwy Ste 1, College Station TX 77845-4674. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Scasta, Tracey Love can be contacted via phone (979) 695-2020.

Contact Information

Primary practice address
1550 Copperfield Pkwy Ste 1 College Station TX 77845-4674
Phone: (979) 695-2020
Fax: (979) 764-1654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5274TG Texas

Profile Details

NPI number 1093813974
LBN Legal business name Scasta, Tracey Love
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Apr 27th, 2017 - about 9 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 1093813974 NPPES
Texas Other 611677 MEDICARE PTAN

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