Individual provider Active NPI

Julie A Tracey, O.D.

  • Optometrist
  • Livonia, MI
National Provider Identifier
1619126364
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004512 Issued in MI
Practice address
18756 Middlebelt Rd
Livonia, MI 48152-3528
Phone
(248) 476-5350
Fax
(248) 476-5355
NPI assigned
Sep 17, 2008
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003551 IN
Optometrist 152W00000X 4901004512 MI Primary

Addresses

Primary practice location

18756 Middlebelt Rd
Livonia, MI 48152-3528

Mailing address

735 John R Rd Ste 150
Troy, MI 48083-5859
Phone (248) 588-9300

Other practice location 1

735 John R Rd
Troy, MI 48083-5856
Phone (248) 951-0000

Other names 1

  • Dr. Julie A Masters Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100122000167 MI Practitioner - Optometry 1456493998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P-Cor LLCGroup PAC ID 9931194149, 81 clinicians

Practice addresses (Care Compare)

35184 Central City Pkwy
Westland, MI 48185-6215
Phone (734) 427-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003551INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pcor LLC Optometrist CurrentSince Apr 1, 2014 Accepting new patients
Pcor, LLC Optometrist CurrentSince Apr 1, 2014 Accepting new patients
Direct Optical, Inc Optometrist Past Accepting new patients
Wce, LLC Past Accepting new patients
Hearing Associates of Farmington Hills, PLLC Past Accepting new patients
Wce, LLC Past Accepting new patients

Locations

1961 S Telegraph Rd
Ste 101
Bloomfield Township, MI 48302
Phone (248) 972-2555

27903 23 Mile Rd
Chesterfield, MI 48051
Phone (586) 598-3935

33100 S Gratiot Ave
Clinton Twp, MI 48035
Phone (586) 294-0120

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

400 Renaissance Ctr
Ste 140
Detroit, MI 48243

22500 Haggerty Rd
Farmington Hills, MI 48335
Phone (248) 477-9300

4281 24th Ave
Fort Gratiot, MI 48059
Phone (810) 385-4000

1376 S Lapeer Rd
#A
Lake Orion, MI 48360
Phone (248) 693-3380

516 Highland Ave
Milford, MI 48381
Phone (248) 577-3616

504 N Telegraph Rd
Monroe, MI 48162
Phone (734) 243-2020

40895 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 233-6300

32600 Gratiot Ave
Roseville, MI 48066
Phone (586) 294-0120

2025 25 Mile Rd
Shelby Township, MI 48316
Phone (248) 651-3937

44987 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 247-5910

22395 Eureka Rd
Taylor, MI 48180
Phone (248) 661-5100

735 John R Rd
Troy, MI 48083
Phone (248) 544-3290

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

6530 Farmington Rd
Ste 300
West Bloomfield, MI 48322
Phone (248) 661-5100

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

Interoperability endpoints

  • Direct secure messaging: jtracey394135@direct.hfhs.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1619126364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 JOHN R RD STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835859",
            "telephone_number": "248-588-9300",
            "fax_number": "248-588-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18756 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523528",
            "telephone_number": "248-476-5350",
            "fax_number": "248-476-5355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 John R Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480835856",
            "country_code": "US",
            "telephone_number": "248-951-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRACEY",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003551",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MASTERS",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.