Tracy Optometry Group, Inc

LBN: Tracy Optometry Group, Inc
Tracy Optometry Group, Inc is an health care organization with primary practice located at 36 W 10Th St , Tracy CA 95376-3902. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Tracy Optometry Group, Inc can be contacted via phone (209) 835-7446, or through Moline, David C via phone (209) 835-7446.

Contact Information

Primary practice address
36 W 10Th St Tracy CA 95376-3902
Phone: (209) 835-7446
Fax: (209) 835-3572
Website:
Map and Directions
Authorized official contact:
Name: Moline, David C 0.D.
Phone: (209) 835-7446

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X COR1056 California

Profile Details

NPI number 1740409648
LBN Legal business name Tracy Optometry Group, Inc
DBA Doing business as
Authorized official Moline, David C 0.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Feb 14th, 2008 - about 18 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 1740409648 NPPES
California MEDICAID GSD005210

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