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Contact Information

TRACY R BENEVICH
1025 ESTANCIA DR
SIERRA VISTA, AZ85635-8343
 Phone: 520-227-0302
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision

224ZL0004X
Indicates primary specialty

NPI Profile & details for TRACY R BENEVICH · (Female)

NPI # 1821569062
Status Active
Credentials
Entity Individual
Enumeration date 12/16/2018
Last updated 12/29/2025 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 6810
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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