Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | R-176-TA-786 | AL |
N | 152W00000X | Optometrist | R176TA786 | AL |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | TN2229 | TN |
NPI | 1306973417 |
---|---|
Provider Name | Dr. Tracy Lynn Schroeder Swartz |
First Address | Huntsville, AL 35806-4825 |
Second Address | Huntsville, AL 35806-4825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 16/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U56451 | (02) | TN |