Individual
DR. TRACEY C BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
31519 WINTERPLACE PKWY, STE 1, SALISBURY, MD 21804-1884
(410) 546-2500
(410) 546-5005
Mailing address
31519 WINTERPLACE PKWY, STE 1, SALISBURY, MD 21804-1884
(410) 546-2500
(410) 546-5005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0006064UVT
NY
152W00000X
Optometrist
13-0001320
DE
152W00000X
Optometrist
Primary
TA2027
MD
152WP0200X
Pediatric Optometrist
0006064UVT
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012728100
—
MD
Enumeration date
06/20/2005
Last updated
02/14/2022
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