Raykovicz, Tracy Macintyre
Raykovicz, Tracy Macintyre is an individual health care provider with primary practice located at 2115 W Roosevelt Blvd , Monroe NC 28110-2737. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Raykovicz, Tracy Macintyre can be contacted via phone (704) 238-1849.Contact Information
Primary practice address
2115 W Roosevelt Blvd
Monroe NC 28110-2737
Phone: (704) 238-1849
Fax: (704) 238-1850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | NC1894 | North Carolina |
Profile Details
| NPI number | 1275587495 |
|---|---|
| LBN Legal business name | Raykovicz, Tracy Macintyre |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| 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 | 1275587495 | NPPES |
| Maryland | MEDICAID | 98478700 |
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