Active NPI
Gary Tracy, OD P.C.
- Optometrist
- New York, NY
National Provider Identifier
1003237306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV003044-1
- Legal business name
- GARY TRACY, OD P.C.
- Practice address
- 210 W 79TH St
New York, NY 10024-6228 - Phone
- (212) 877-5840
- Fax
- (212) 877-5841
- NPI assigned
- Jan 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Tracy
- Title
- Manager
- Phone
- (201) 247-5893
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV003044-1 | NY | Primary |
Addresses
Primary practice location
210 W 79TH St
New York, NY 10024-6228
Mailing address
210 W 79TH St
New York, NY 10024-6228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Great Neck, NY
- NPI 1306572672
-
- Optometrist
- New York, NY
- NPI 1023088119
-
- Optometrist
- New York, NY
- NPI 1699115980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388793600000",
"number": "1003237306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W 79TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W 79TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246228",
"telephone_number": "212-877-5840",
"fax_number": "212-877-5841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY TRACY, OD P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-04",
"last_updated": "2014-01-04",
"status": "A",
"authorized_official_last_name": "TRACY",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "201-247-5893"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "TUV003044-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.