Provider Demographics
NPI:1154461994
Name:STRINGFIELD, TRACY (OD)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:STRINGFIELD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:TRACY
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 730486
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-0486
Mailing Address - Country:US
Mailing Address - Phone:214-692-0146
Mailing Address - Fax:214-692-1698
Practice Address - Street 1:10740 N CENTRAL EXPY
Practice Address - Street 2:SUITE 350
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2161
Practice Address - Country:US
Practice Address - Phone:214-692-0146
Practice Address - Fax:214-692-1698
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2011-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04845T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU44022Medicare UPIN
TX8F4279Medicare PIN