Individual
DR. BRIAN D TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3000 L ST, SUITE 100, SACRAMENTO, CA 95816-5248
(916) 454-5729
Mailing address
3000 L ST, SUITE 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
—
00E630000
DMERC SIGNA
CA
01
—
02338
MEDICAL EYE SERVICES
CA
01
—
211188
EYEMED
CA
01
—
34392
DAVIS VISION
CA
01
—
410012517
RAILROAD MEDICARE
CA
01
—
46598
SAFEGUARD VISION
CA
05
—
SD0091090
—
CA
Enumeration date
04/26/2006
Last updated
07/12/2012
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