Individual
DR. TRACY L FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV005922
NY
152W00000X
Optometrist
Primary
VUT0059221
NY
Other
Enumeration date
03/28/2006
Last updated
03/04/2021
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