Eickhoff, Tracy Ann
Eickhoff, Tracy Ann is an sole proprietor health care provider with primary practice located at 3510 W Main St , League City TX 77573-1733. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Eickhoff, Tracy Ann can be contacted via phone (281) 724-3040.Contact Information
Primary practice address
3510 W Main St
League City TX 77573-1733
Phone: (281) 724-3040
Fax: (281) 724-3041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7252TG | Texas |
Profile Details
| NPI number | 1386883403 |
|---|---|
| LBN Legal business name | Eickhoff, Tracy Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2009 |
| Last updated | Apr 1st, 2013 - about 12 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 | 1386883403 | NPPES |
| Texas | MEDICAID | 112409104 |
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