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Contact Information

TRACI D ANDERSON, OD
3150 E 27TH AVE
# 100
SPOKANE, WA99223-4919
 Phone: 509-828-4561
 Fax: 509-228-8210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for TRACI D ANDERSON · (Female)

NPI # 1265543045
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/31/2006
Last updated 05/06/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # 3653
  • WA Medicaid 2029056
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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