Dr Emerson Richards Tracy, OPTOMETRIC PHYSICIAN is a
Optometrist based in Brigantine, New Jersey. Dr Emerson Richards Tracy is licensed to practice in New Jersey (license number #2704) and his current practice location is
3000 W Brigantine Avenue, Brigantine, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(609) 266-3553.
NPI number for Dr Emerson Richards Tracy is 1528023637 and his current mailing address is 3000 W. Brigantine Ave, Brigantine, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528023637.
Healthcare Provider's Profile
| Full Name | Dr Emerson Richards Tracy |
|---|
| Gender | Male |
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| Speciality | Optometrist |
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| Location | 3000 W Brigantine Avenue, Brigantine, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528023637
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 11/13/2012
Medical Identifiers
Medical identifiers for Dr Emerson Richards Tracy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528023637 | NPI | - | NPPES |
| 1273205 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2704 (New Jersey) | Secondary |
| 152W00000X | Optometrist | #2704 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Emerson Richards Tracy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Emerson Richards Tracy, OPTOMETRIC PHYSICIAN
3000 W. Brigantine Ave,
Brigantine, NJ 08203-1704
Ph: (609) 266-3553 | Dr Emerson Richards Tracy, OPTOMETRIC PHYSICIAN
3000 W Brigantine Avenue,
Brigantine, NJ 08203
Ph: (609) 266-3553 |
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