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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 Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for TRACEY L YOTHERS · (Female)

NPI # 1356404008
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/17/2006
Last updated 07/08/2010 - About 16 years ago
Sole proprietor 1 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(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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