Tracy Optometry Group, INC

NPI #1740409648 in Tracy, California

Provider Information

NPI Number: 1740409648
Entity Type: Organization
Organization Name: Tracy Optometry Group, INC
Primary Specialty: Optometrist
Enumeration Date: Apr 25, 2007
Last Updated: Feb 14, 2008

Practice Location

Address: 36 W 10TH ST
City: Tracy
State: California
ZIP Code: 95376-3902
Phone: (209) 835-7446

Authorized Official

Name: DR. DAVID C MOLINE, 0.D.
Title: PRESIDENT
Phone: (209) 835-7446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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