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Individual
DR. MARK TRACY DEAN
Active
Individual
DR. MARK TRACY DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
679
SC
152WV0400X
Vision Therapy Optometrist
Primary
679
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D06795
—
SC
Enumeration date
03/16/2006
Last updated
06/17/2026
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