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Contact Information

TRACY L SHOEMAKER, OD
4008 S ELM PL
STE A
BROKEN ARROW, OK74011
 Phone: 918-455-2020
 Fax: 918-455-4030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for TRACY L SHOEMAKER · (Female)

NPI # 1215135611
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/06/2007
Last updated 03/28/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 2837
  • WA License # OD00004159
  • OK Medicaid 200617840A
  • WA Medicaid 2034155
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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