Individual
TRACEY A SCHMUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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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