TRACY A PHILLIPS (NPI# 1619960408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619960408 |
| Entity Type | Individual |
| Full Name | TRACY A PHILLIPS |
| Credential | O.D. |
| Practice Address |
336 El Camino Real San Carlos CA 94070-2408 |
| Practice Telephone | 6505921820 |
| Mailing Telephone | 6505921820 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2014-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 9334T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | DC884A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629245998 | Tracy Lynn Phillips | Licensed Practical Nurse | 5620 W Birch Harbor Dr, Wasilla, AK 99654-9430 | 2008-05-14 |
| 1558464990 | Tracy T Phillips | Obstetrics & Gynecology | 2089 Vale Road, Suite 10, San Pablo, CA 94806 | 2006-09-07 |
| 1679571863 | Tracy Thomas Phillips | Family Medicine | 103 Frankie Ln, White Hall, AR 71602-2685 | 2005-07-12 |
| 1770073702 | Tracy Lanae Phillips | Counselor | 525 Estudillo Ave, San Leandro, CA 94577-4684 | 2018-05-15 |
| 1508013293 | Tracy B Phillips | Optometrist | 1733 2nd St S, Meridian, MS 39301-4514 | 2008-08-25 |
| 1689873754 | Tracy Phillips | Counselor | 3707 Sunset Lane, Antioch, CA 94509 | 2007-07-17 |
| 1588876866 | Tracy Lee Phillips | Dentist | 8015 164th St, Jamaica, NY 11432-1116 | 2007-05-07 |
| 1578648309 | Tracy Elizabeth Phillips | Social Worker | 2795 Richmond Ave, Staten Island, NY 10314-5857 | 2006-10-27 |
| 1376527051 | Tracy B Phillips | Pediatrics | 258 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2005-12-06 |
| Street Address |
336 EL CAMINO REAL |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790033421 | All Eyes On You Optometry Inc | Optometrist | 336 El Camino Real, San Carlos, CA 94070-2408 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609924273 | Benjamin D Cooper | Optometrist | 223 Seneca Ln, San Carlos, AZ 85550 | 2007-01-08 |
| 1508803636 | Kristi Ann Jensen | Optometrist | 57 El Camino Real, San Carlos, CA 94070-2401 | 2006-05-31 |
| 1831170463 | Susan Ann Oh | Optometrist | 1234 Cherry St, San Carlos, CA 94070-3110 | 2005-11-10 |
| 1972097244 | Zhenzhen Ye | Optometrist | 57 El Camino Real, San Carlos, CA 94070-2401 | 2018-06-19 |
| 1699298224 | Siavash Assar | Optometrist | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2017-07-25 |
| 1952847352 | Carole L. Hong Od Inc. | Optometrist | 1234 Cherry St, San Carlos, CA 94070-3110 | 2017-01-10 |
| 1790033421 | All Eyes On You Optometry Inc | Optometrist | 336 El Camino Real, San Carlos, CA 94070-2408 | 2012-08-28 |
| 1982914420 | Serena M Cox | Optometrist | 1234 Cherry St, San Carlos, CA 94070-3110 | 2010-10-18 |
| 1104055631 | Nary Chum | Optometrist | 750 El Camino Real, San Carlos, CA 94070-3106 | 2009-07-06 |
| 1720176423 | Primrose Wong | Optometrist | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-10-10 |
| Find all providers in SAN CARLOS | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.