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Contact Information

TRACY C SEPICH, OD
100 OAKWOOD AVENUE
STE 300
STATE COLLEGE, PA16803
 Phone: 814-272-0262
 Fax: 814-272-1501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for TRACY C SEPICH · (Female)

NPI Number 1407826969
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/25/2006
Last updated 06/01/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OEG000589
  • PA Medicaid 0014195820005
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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