Tara Brackley, OD

NPI #1144633702 in Fayetteville, New York

Provider Information

NPI Number: 1144633702
Entity Type: Individual
Name: Tara Brackley, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 11, 2014
Last Updated: Jun 11, 2014

Practice Location

Address: 4000 MEDICAL CENTER DR
Address 2: SUITE 207
City: Fayetteville
State: New York
ZIP Code: 13066-6631
Phone: (315) 637-1010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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