Yothers, Tracey L.

Yothers, Tracey L. is an sole proprietor health care provider with primary practice located at 535 W Wheatland Rd , Duncanville TX 75116-4515. She recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Yothers, Tracey L. can be contacted via phone (972) 298-7249.

Contact Information

Primary practice address
535 W Wheatland Rd Duncanville TX 75116-4515
Phone: (972) 298-7249
Fax: (972) 298-6740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 05168TG Texas
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 05168TG Texas
Eye and Vision Services Providers / Pediatrics 152WP0200X 05168TG Texas
Eye and Vision Services Providers / Vision Therapy 152WV0400X 05168TG Texas

Profile Details

NPI number 1356404008
LBN Legal business name Yothers, Tracey L.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2006
Last updated Jul 8th, 2010 - about 14 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 1356404008 NPPES
Texas Other 00E52G GROUP BCBS NUMBER
Texas MEDICAID 176941601 GROUP BCBS NUMBER
Texas Other T13054 GROUP BCBS NUMBER
Texas Other 021948 GROUP BCBS NUMBER
Texas MEDICAID 040972404 GROUP BCBS NUMBER
Texas Other 921409 GROUP BCBS NUMBER

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