Boss, Tracey C

Boss, Tracey C is an individual health care provider with primary practice located at 31519 Winterplace Pkwy Ste 1, Salisbury MD 21804-1884. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Boss, Tracey C can be contacted via phone (410) 546-2500.

Contact Information

Primary practice address
31519 Winterplace Pkwy Ste 1 Salisbury MD 21804-1884
Phone: (410) 546-2500
Fax: (410) 546-5005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0006064UVT New York
Eye and Vision Services Providers / Optometrist 152W00000X 13-0001320 Delaware
Eye and Vision Services Providers / Pediatrics 152WP0200X 0006064UVT New York
Eye and Vision Services Providers / Optometrist 152W00000X TA2027 Maryland

Profile Details

NPI number 1801891403
LBN Legal business name Boss, Tracey C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Feb 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801891403 NPPES
Maryland MEDICAID 012728100

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