Individual
DR. TRACY JEROME KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10315 SILVERDALE WAY NW, SILVERDALE, WA 98383-7670
(360) 698-7618
(360) 698-4145
Mailing address
10315 SILVERDALE WAY NW, PO BOX 987, SILVERDALE, WA 98383-0987
(360) 698-7618
(360) 698-4145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1552
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014397
—
WA
Enumeration date
12/04/2006
Last updated
11/10/2009
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