Dr. Emerson Richards Tracy, Optometric Physician
Optometrist in Brigantine, NJ. Individual provider (NPI-1).
NPI number1528023637
StatusActive
Last updated in NPPESNov 13, 2012
Details
- NPI
- 1528023637
- Entity type
- Individual (NPI-1)
- Name
- Dr. Emerson Richards Tracy
- Credential
- Optometric Physician
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2006
- Last updated
- Nov 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | #2704 | NJ | Yes |
| 152W00000X | Optometrist | 2704 | NJ |
Practice location
3000 W Brigantine AvenueBrigantine, NJ 08203
Phone 609-266-3553 · Fax 609-266-4131
Mailing address
3000 W. Brigantine AveBrigantine, NJ 08203-1704
Phone 609-266-3553 · Fax 609-266-4131
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