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Contact Information

FAMILY OPTOMETRY OF TRACY INC
2104 W GRANT LINE RD
TRACY, CA95377-7309
 Phone: 209-229-8611
 Fax: 209-229-8559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for FAMILY OPTOMETRY OF TRACY INC

NPI Number 1154634236
LBN Legal business name FAMILY OPTOMETRY OF TRACY INC
Authorized official CORINNA SHELLEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2010
Last updated 11/02/2010 - About 16 years ago
Identifiers
CA License # 13351 TPL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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