Kawamura, Tracy Carol

Kawamura, Tracy Carol is an individual health care provider with primary practice located at 3500 N Sepulveda Blvd Suite E4, Manhattan Beach CA 90266-3638. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kawamura, Tracy Carol can be contacted via phone (310) 546-5568.

Contact Information

Primary practice address
3500 N Sepulveda Blvd Suite E4 Manhattan Beach CA 90266-3638
Phone: (310) 546-5568
Fax: (310) 546-5421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9750TPA California

Profile Details

NPI number 1679556872
LBN Legal business name Kawamura, Tracy Carol
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jan 22nd, 2020 - about 4 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 1679556872 NPPES
California MEDICAID SD0097500

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