Sheedy, Tracy Sherman

Sheedy, Tracy Sherman is an individual health care provider with primary practice located at 7381 S Broadway , Red Hook NY 12571-1745. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Low Vision Rehabilitation is her primary health care specialty. Sheedy, Tracy Sherman can be contacted via phone (845) 758-8818.

Contact Information

Primary practice address
7381 S Broadway Red Hook NY 12571-1745
Phone: (845) 758-8818
Fax: (845) 758-9215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X VUT005760 New York
Eye and Vision Services Providers / Optometrist 152W00000X VUT005760 New York

Profile Details

NPI number 1659341600
LBN Legal business name Sheedy, Tracy Sherman
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Nov 2nd, 2007 - about 18 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 1659341600 NPPES
New York Other C211C1 BC/BS
New York Other VUT005760 BC/BS
New York Other 903535 BC/BS
New York Other 903534 BC/BS
New York Other 10032271 BC/BS
New York Other 597054 BC/BS

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