Individual
TRACY P. RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3911 MAIN ST, LORIS, SC 29569-3017
(843) 756-1262
(843) 756-6667
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
860
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9737
—
SC
Enumeration date
11/22/2006
Last updated
04/24/2026
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