Libbi Tracy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

767 Issued in AZ

Practice address

1121 S Gilbert Rd
Suite 103
Mesa, AZ 85204-5235

Phone

(480) 854-3310

Fax

(480) 854-1157

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Libbi Tardibuono Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Vision Care PLLCGroup PAC ID 9931553831, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Complete Vision Care PLLC

  • Optometrist
  • Apache Junction, AZ
  • NPI 1235823394
  Medicare reassignment Care Compare group NPD
• Miles Eye Center PLLC

  • Ophthalmology Physician
  • Show Low, AZ
  • NPI 1285864652
  Medicare reassignment NPD
• Central Phoenix Eye Care, PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1043246416
  Medicare reassignment
• Paul Wagner OD PLC

  • Optometrist
  • Chandler, AZ
  • NPI 1912218405
  Medicare reassignment
• Barnet Dulaney Perkins Eye Center, PC

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1376574707
  NPD (past)
• Complete Vision Care PLLC

  • Optometrist
  • Globe, AZ
  • NPI 1497561195
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1699847384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 E KENWOOD ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S GILBERT RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045235",
            "telephone_number": "480-854-3310",
            "fax_number": "480-854-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "LIBBI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP ID",
            "identifier": "DB1051",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00086938",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIBBI",
            "last_name": "TARDIBUONO",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kacy Towne
• Tpe Surgery Center, LLC
• Austin Kimball Traasdahl, DO
• Meaghan Tracey
• Celestia Gay Tracy
• Rochelle Tracy, FNP
• Priscilla Trahan, APRN
• Trajet LLC
• Amy Bodrero Tran, PHARMD
• Leann Tran

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.