Sepich, Tracy C

Sepich, Tracy C is an individual health care provider with primary practice located at 100 Oakwood Avenue Ste 300, State College PA 16803. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sepich, Tracy C can be contacted via phone (814) 272-0262.

Contact Information

Primary practice address
100 Oakwood Avenue Ste 300 State College PA 16803
Fax: (814) 272-1501
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000589 Pennsylvania

Profile Details

NPI number 1407826969
LBN Legal business name Sepich, Tracy C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jun 1st, 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 1407826969 NPPES
Pennsylvania MEDICAID 0014195820005

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