Individual
TRACY A HARADON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O. D.
Contact information
Practice address
453 SUMNER AVE, SPRINGFIELD, MA 01108-2320
(413) 733-5155
(413) 733-5119
Mailing address
453 SUMNER AVE, SPRINGFIELD, MA 01108-2320
(413) 733-5155
(413) 733-5119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3810
MA
152WC0802X
Corneal and Contact Management Optometrist
Primary
3810
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000027519
BOSTON MEDICAL CENTER HEA
MA
01
—
0030314
NEIGHBORHOOD HEALTH PLAN
MA
05
—
0392251
—
MA
01
—
19101
HEALTH NEW ENGLAND
MA
01
—
22-00401
EVERCARE SENIOR OPTIONS
MA
01
—
2215920
FIRST HEALTH
MA
01
—
2301488
UNITED HEALTHCARE
MA
01
—
2748922
CIGNA
MD
01
—
410106
TUFTS HEALTH PLANS
MA
01
—
50449
CHILDRENS MEDICAL SECURIT
MA
01
—
5310173
AETNA
MA
01
—
970751
NETWORK HEALTH
MA
01
—
AA11181
HARVARD PILGRIM
MA
01
—
W15973
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/23/2005
Last updated
09/11/2025
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