Tracy M Deak
Individual provider Active NPI Optician · Middlefield, OH
NPI 1255210852 · NPPES record last updated Aug 28, 2025
Key facts
- NPI
- 1255210852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- OP6373SC (OH)
- Practice address
- 15050 Harrington Way
Middlefield, OH 44062-9211 - Phone
- (440) 632-0530
- Fax
- (440) 632-0537
- NPI assigned
- Aug 28, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP6373SC | OH | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | OP6373SC | OH | Yes |
Addresses
Primary practice location
15050 Harrington Way
Middlefield, OH 44062-9211
Mailing address
15050 Harrington Way
Middlefield, OH 44062-9211
Phone (440) 632-0530
Other providers in Middlefield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.