Giles, Tracy K

Giles, Tracy K is an sole proprietor health care provider with primary practice located at 1039 Washington Ave , Portland ME 04103-3628. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Giles, Tracy K can be contacted via phone (207) 775-6533.

Contact Information

Primary practice address
1039 Washington Ave Portland ME 04103-3628
Phone: (207) 775-6533
Fax: (207) 775-2702
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT707 Maine

Profile Details

NPI number 1821042854
LBN Legal business name Giles, Tracy K
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2006
Last updated May 29th, 2019 - about 6 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 1821042854 NPPES
Maine Other 0005291253 AETNA
Maine Other 620118001 AETNA
Maine Other 038328 AETNA
Maine MEDICAID 115510000 AETNA
Maine Other 2354892 AETNA
Maine Other 010531263 AETNA

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