Needham, Tracey G

Needham, Tracey G is an individual health care provider with primary practice located at 647 Lime City Rd , Rossford OH 43460-1444. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Needham, Tracey G can be contacted via phone (419) 666-0700.

Contact Information

Primary practice address
647 Lime City Rd Rossford OH 43460-1444
Fax: (419) 666-9605
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5330T2239 Ohio

Profile Details

NPI number 1245305754
LBN Legal business name Needham, Tracey G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Dec 2nd, 2013 - about 11 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 1245305754 NPPES
Ohio MEDICAID 0854286

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