Individual
DR. EMERSON RICHARDS TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIC PHYSICIAN
Contact information
Practice address
3000 W BRIGANTINE AVENUE, BRIGANTINE, NJ 08203
(609) 266-3553
(609) 266-4131
Mailing address
3000 W. BRIGANTINE AVE, BRIGANTINE, NJ 08203-1704
(609) 266-3553
(609) 266-4131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
#2704
NJ
152W00000X
Optometrist
2704
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1273205
—
NJ
Enumeration date
04/20/2006
Last updated
11/13/2012
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