Brooks, Tracy K
Brooks, Tracy K is an individual health care provider with primary practice located at 388 Hawkins Ave Ste 2 , Lake Ronkonkoma NY 11779-4280. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Brooks, Tracy K can be contacted via phone (631) 588-7004.Contact Information
Primary practice address
388 Hawkins Ave Ste 2
Lake Ronkonkoma NY 11779-4280
Phone: (631) 588-7004
Fax: (631) 588-2612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | VUT006148 | New York |
Profile Details
| NPI number | 1609995844 |
|---|---|
| LBN Legal business name | Brooks, Tracy K |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Mar 17th, 2018 - about 7 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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