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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801891403 | NPPES |
| Maryland | MEDICAID | 012728100 |
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