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Contact Information

BRIAN D TRACY, OD
3000 L ST
SUITE 100
SACRAMENTO, CA95816-5248
 Phone: 916-454-5729
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRIAN D TRACY · (Male)

NPI Number 1356308266
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/26/2006
Last updated 07/12/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 9109T
  • CA Medicaid SD0091090
  • CA Other 34392 DAVIS VISION
  • CA Other 00E630000 DMERC SIGNA
  • CA Other 211188 EYEMED
  • CA Other 02338 MEDICAL EYE SERVICES
  • CA Other 410012517 RAILROAD MEDICARE
  • CA Other 46598 SAFEGUARD VISION
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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