Organization Active NPI

Tracy Eyecare Center PLLC

  • Optometrist
  • Murray, KY
National Provider Identifier
1942980412
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TRACY EYECARE CENTER PLLC
Practice address
1713 Highway 121 Byp N
Suite B
Murray, KY 42071
Phone
(270) 216-2020
NPI assigned
Jul 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Dr. Sarah Nicole Tracy, ODNPI 1740947001
Title
Optometrist/Owner
Phone
(270) 293-6555

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1713 Highway 121 Byp N
Suite B
Murray, KY 42071

Mailing address

2651 Perkins Creek Dr Apt 1025
Paducah, KY 42001-7535
Phone (270) 293-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240326002760 KY Part B Supplier - Clinic/Group Practice 9335586304 Receives reassigned benefits from 1 practitioner
Practice locations: Murray, KY

National Provider Directory

National Provider Directory

Locations

1713 Highway 121 Byp N
#B
Murray, KY 42071
Phone (270) 216-2020

1713 State Route 121 N
Ste B
Murray, KY 42071

1713 Highway 121 Byp N
Ste B
Murray, KY 42071
Phone (270) 216-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1942980412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 PERKINS CREEK DR APT 1025",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017535",
            "telephone_number": "270-293-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 HIGHWAY 121 BYP N",
            "address_2": "SUITE B",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "42071",
            "telephone_number": "270-216-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY EYECARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "270-293-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.

Verify at the official NPI Registry.