National Provider Identifier Database

TRACEY L YOTHERS, OD – NPI #1356404008
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

TRACEY L YOTHERS, OD
535 W WHEATLAND RD
DUNCANVILLE, TX75116-4515
Phone: 972-298-7249
Fax: 972-298-6740
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X
Pediatrics 152WP0200X
Vision Therapy 152WV0400X

* Indicates primary specialty

NPI Profile & details for TRACEY L YOTHERS

NPI Number 1356404008
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/17/2006
Last updated 07/08/2010 - About 16 years ago
Sole proprietor1 Yes
Identifiers
  • TX License #: 05168TG
  • TX Medicaid: 040972404
  • TX Medicaid: 176941601
  • TX Other: 021948 BLOCK MEDICAID LOCAT #
  • TX Other: 00E52G GROUP BCBS NUMBER
  • TX Other: T13054 INDIVIDUAL BCBS
  • TX Other: 921409 INDIVIDUAL BLOCK MEDICAID
Hospital affiliation n/a

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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