PAUL TRACY OD
NPI 1043485949
Optometrist in Hannibal, MO

Q: What is Paul Tracy Od's NPI number?

The NPI number for Paul Tracy Od is 1043485949. It was assigned to this organization in the NPPES registry on April 23, 2008.

Q: What is Paul Tracy Od's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Tracy Od was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2008

3650 STARDUST DR, HANNIBAL, MO 63401(573) 406-1503(573) 406-1057 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Paul Tracy Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL TRACY OD (NPI 1043485949) is a healthcare organization registered as an optometrist in Hannibal, Missouri and active in the NPI registry since April 2008. The organization lists Paul D Tracy, Owner, as its authorized official.

NPPES Registry Identity

NPI1043485949

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePAUL TRACY OD

Location Address3650 STARDUST DRHannibal, MO 63401-2480

Mailing Address2316 Briar LnQuincy, IL 62305-6574 · (816) 645-8025 · Fax (573) 406-1057

Phone(573) 406-1503

Fax(573) 406-1057

Organization SubpartNo

Authorized OfficialPaul D TracyOwner · (573) 406-1503

Enumeration DateApril 23, 2008

Last NPPES UpdateDecember 18, 2012

✔ NPI 1043485949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MO · 2001020432

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

3650 STARDUST DR, Hannibal, MO 63401

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Other Identifiers 3

Medicare PINMA1025MO

Other39941018MO · Bluecross Blue Shield

Medicare UPINMA1025MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUDY WILCOX

Pharmacist