Haradon, Tracy A
Haradon, Tracy A is an individual health care provider with primary practice located at 453 Sumner Ave , Springfield MA 01108-2320. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Haradon, Tracy A can be contacted via phone (413) 733-5155.Contact Information
Primary practice address
453 Sumner Ave
Springfield MA 01108-2320
Phone: (413) 733-5155
Fax: (413) 733-5119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3810 | Massachusetts |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 3810 | Massachusetts |
Profile Details
| NPI number | 1023011228 |
|---|---|
| LBN Legal business name | Haradon, Tracy A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1023011228 | NPPES |
| Massachusetts | Other | 970751 | NETWORK HEALTH |
| Massachusetts | Other | 2748922 | NETWORK HEALTH |
| Massachusetts | Other | 50449 | NETWORK HEALTH |
| Massachusetts | Other | 5310173 | NETWORK HEALTH |
| Massachusetts | Other | 000000027519 | NETWORK HEALTH |
| Massachusetts | Other | 2215920 | NETWORK HEALTH |
| Massachusetts | Other | 22-00401 | NETWORK HEALTH |
| Massachusetts | Other | 19101 | NETWORK HEALTH |
| Massachusetts | Other | 410106 | NETWORK HEALTH |
| Massachusetts | Other | AA11181 | NETWORK HEALTH |
| Massachusetts | Other | 0030314 | NETWORK HEALTH |
| Massachusetts | Other | W15973 | NETWORK HEALTH |
| Massachusetts | MEDICAID | 0392251 | NETWORK HEALTH |
| Massachusetts | Other | 2301488 | NETWORK HEALTH |
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