Tracy K Giles PA

NPI #1053902395 in Portland, Maine

Provider Information

NPI Number: 1053902395
Entity Type: Organization
Organization Name: Tracy K Giles PA
Primary Specialty: Optometrist
Enumeration Date: Jan 29, 2021
Last Updated: Jan 29, 2021

Practice Location

Address: 1039 WASHINGTON AVE
City: Portland
State: Maine
ZIP Code: 04103-3628
Phone: (207) 775-6533

Authorized Official

Name: DR. TRACY K GILES, OD
Title: PRESIDENT
Phone: (207) 775-6533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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