Active NPI
Brian D Tracy, OD
- Optometrist
- Sacramento, CA
National Provider Identifier
1235314600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9109T
- Legal business name
- BRIAN D TRACY, OD
- Practice address
- 3000 L St
Ste 100
Sacramento, CA 95816-5248 - Phone
- (916) 454-5729
- NPI assigned
- Jan 4, 2008
- 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
- Dr. Brian D Tracy, O.D.
- Title
- Optometrist
- Phone
- (916) 454-5729
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9109T | CA | Primary |
Addresses
Primary practice location
3000 L St
Ste 100
Sacramento, CA 95816-5248
Mailing address
3000 L St
Ste 100
Sacramento, CA 95816-5248
Phone (916) 454-5729
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206384 | Other | CA | COLE VISION |
| 211188 | Other | CA | EYEMED |
| 0536300001 | Other | CA | DMERC CIGNA |
| 34392 | Other | CA | DAVIS VISION |
| 02338 | Other | CA | MEDICAL EYE SERVICES |
| 410012517 | Other | CA | RAILROAD MEDICARE |
| 45457 | Other | CA | SPECTERA VISION |
| GSD004430 | Medicaid | CA | |
| 46598 | Other | CA | SAFEGUARD VISION HMO |
| 49282 | Other | CA | SAFEGUARD VISION PPO |
National Provider Directory
National Provider Directory- Tax ID family
- Brian D Tracy OD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Sacramento, CA
- NPI 1093066482
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Sacramento, CA
- NPI 1356308266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342051200000",
"number": "1235314600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 L ST",
"address_2": "STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165248",
"telephone_number": "916-454-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 L ST",
"address_2": "STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165248",
"telephone_number": "916-454-5729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN D TRACY, OD",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-04",
"last_updated": "2012-07-12",
"status": "A",
"authorized_official_last_name": "TRACY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "916-454-5729",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "9109T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLE VISION",
"identifier": "206384",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "211188",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC CIGNA",
"identifier": "0536300001",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "34392",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES",
"identifier": "02338",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410012517",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA VISION",
"identifier": "45457",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GSD004430",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD VISION HMO",
"identifier": "46598",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD VISION PPO",
"identifier": "49282",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
- Sydney Ann Brewer
- Treesy Arcia Brewster
- Brian C Crawford and Paolo a Poidmore, a Dental Corporation (Precision Orthodontics)
- Brian C. Steele DDS a Professional Corporation (Sacramento Dentistry Group)
- Brian D Tracy OD
- Brian Hayes LMFT a Marriage and Family Therapy Professional Corp.
- Brian T. Kim, DDS, Inc.
- Decarina Esmeralda Briancesco
- Frances Eileen Briare, FNP
- Briarwood Post Acute LLC (Briarwood Post Acute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.