Miller, Tracy Ann

Miller, Tracy Ann is an sole proprietor health care provider with primary practice located at 2472 Patterson Rd Unit 11, Grand Junction CO 81505-1076. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Miller, Tracy Ann can be contacted via phone (970) 424-5555.

Contact Information

Primary practice address
2472 Patterson Rd Unit 11 Grand Junction CO 81505-1076
Phone: (970) 424-5555
Fax: (970) 424-5027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2523 Colorado

Profile Details

NPI number 1760560205
LBN Legal business name Miller, Tracy Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Mar 12th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760560205 NPPES
Colorado Other 11713642 CAQH ID

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