Organization
BRIAN D TRACY, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN D TRACY O.D. (OPTOMETRIST)
(916) 454-5729
Entity
Organization
Contact information
Practice address
3000 L ST, STE 100, SACRAMENTO, CA 95816-5248
(916) 454-5729
Mailing address
3000 L ST, STE 100, SACRAMENTO, CA 95816-5248
(916) 454-5729
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9109T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02338
MEDICAL EYE SERVICES
CA
01
—
0536300001
DMERC CIGNA
CA
01
—
206384
COLE VISION
CA
01
—
211188
EYEMED
CA
01
—
34392
DAVIS VISION
CA
01
—
410012517
RAILROAD MEDICARE
CA
01
—
45457
SPECTERA VISION
CA
01
—
46598
SAFEGUARD VISION HMO
CA
01
—
49282
SAFEGUARD VISION PPO
CA
05
—
GSD004430
—
CA
Enumeration date
01/04/2008
Last updated
07/12/2012
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