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Individual

TRACEY A SCHMUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
105 CENTRAL AVE, SEARCY, AR 72143-7329
(501) 268-7154
(501) 268-9071
Mailing address
105 CENTRAL AVE, SEARCY, AR 72143-7329
(501) 268-7154
(501) 268-9071

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E3864
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04010020700
QUALCHOICE
AR
05
152290001
AR
01
2335915
UNITED HEALTHCARE
AR
01
54723
COORDINATED VISION CARE
AR
01
5B955
BLUE CROSS PAY TO
AR
01
5M726
BLUE CROSS INDIVIDUAL
AR
01
621710274
TAX ID
AR
01
7144524
AETNA
AR
01
7616013
CIGNA
AR
01
CJ3133
RAILROAD MCARE GROUP
AR
01
P00081947
RAILROAD MEDICARE
AR
Enumeration date
07/15/2005
Last updated
05/04/2011
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