Glendenning, Tracey Morette
Glendenning, Tracey Morette is an individual health care provider with primary practice located at 201 Racine Dr , Wilmington NC 28403-8702. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Glendenning, Tracey Morette can be contacted via phone (910) 395-6050.Contact Information
Primary practice address
201 Racine Dr
Wilmington NC 28403-8702
Phone: (910) 395-6050
Fax: (910) 794-2222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1480 | North Carolina |
Profile Details
| NPI number | 1992768758 |
|---|---|
| LBN Legal business name | Glendenning, Tracey Morette |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Nov 15th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992768758 | NPPES |
| North Carolina | Other | 410032676 | RR MEDICARE INDIVIDUAL # |
| North Carolina | Other | 0904G | RR MEDICARE INDIVIDUAL # |
| North Carolina | MEDICAID | 890904G | RR MEDICARE INDIVIDUAL # |
| North Carolina | Other | 410048231 | RR MEDICARE INDIVIDUAL # |
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