Traci Lynn Dolezel (NPI# 1467485672, PAC ID# 5193725661) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1467485672 |
| PAC ID by PECOS | 5193725661 |
| Professional Enrollment ID | I20170922000829 |
| Full Name | Traci Lynn Dolezel |
| Address |
2174 Shattuck Ave Berkeley CA 94704-1307 |
| Phone Number | 5108416963 |
| Gender | F |
| Credential | OD |
| Graduation Year | 2005 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2174 Shattuck Ave, Berkeley, CA 94704-1307 | 5108416963 |
| Street Address |
2174 SHATTUCK AVE |
| City | BERKELEY |
| State | CA |
| Zip | 94704-1307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonardo M Dacanay | Ophthalmology | 1936 University Ave, Suite 112, Berkeley, CA 94704-1003 | |
| Roberta L Stern | Clinical Social Worker | 1903 Berkeley Way, Suite 3, Berkeley, CA 94704-1007 | |
| Michelle E Rice | Physical Therapy | G Sports Physical Therapy, Inc. | 2030 Addison St, Suite 101, Berkeley, CA 94704-1140 |
| Sarah L Jay | Physical Therapy | G Sports Physical Therapy, Inc. | 2030 Addison St, Suite 101, Berkeley, CA 94704-1140 |
| Andrew C Monteleone | Physical Therapy | G Sports Physical Therapy, Inc. | 2030 Addison St, Suite 101, Berkeley, CA 94704-1140 |
| Jonathan M Lipschutz | Qualified Audiologist | 2118 Shattuck Ave, Berkeley, CA 94704-1209 | |
| Audrey H Webb | Clinical Social Worker | 2041 Bancroft Way, Suite 307, Berkeley, CA 94704-1406 | |
| Shannon Louise Dubach | Psychologist, Clinical | 2041 Bancroft Way, Suite 307, Berkeley, CA 94704-1406 | |
| Allan J Horwitz | Physical Therapy | Berkeley Community Physical Therapy Inc | 2041 Bancroft Way, Suite 301, Berkeley, CA 94704-1443 |
| Mark J Poggetti | Physical Therapy | Berkeley Community Physical Therapy Inc | 2041 Bancroft Way, Suite 301, Berkeley, CA 94704-1443 |
| Find all physicians in zip 94704 | |||
| City | BERKELEY |
| Zip Code | 94704 |
| Specialty | OPTOMETRY |
| City + Specialty | BERKELEY + OPTOMETRY |
Please comment or provide details below to improve the information on Traci Lynn Dolezel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.