Individual
DR. TRACY C SEPICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
100 OAKWOOD AVENUE, STE 300, STATE COLLEGE, PA 16803
(814) 272-0262
(814) 272-1501
Mailing address
100 OAKWOOD AVENUE, STE 300, STATE COLLEGE, PA 16803
(814) 272-0262
(814) 272-1501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000589
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014195820005
—
PA
Enumeration date
01/25/2006
Last updated
06/01/2012
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