Tracy A Haradon
Optometrist Optomitrist - Corneal and Contact Lenses
453 Sumner Ave
Springfield
, Massachusetts 01108-2320
Tracy A Haradon
Optometrist Optomitrist - Corneal and Contact Lenses
453 Sumner Ave
Springfield
, Massachusetts 01108-2320
(413) 733-5119
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Tracy A Haradon
- 453 Sumner Ave
- Springfield, MA
- Zip : 01108-2320
- Fax : (413) 733-5119
- Phone : (413) 733-5155
Second Address
- Tracy A Haradon
- 453 Sumner Ave
- Springfield, MA
- Zip : 01108-2320
- Fax : (413) 733-5119
- Phone : (413) 733-5155
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 152W00000X | Optometrist | 3810 | MA |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 3810 | MA |
National Provider Identifier
| NPI | 1023011228 |
|---|---|
| Provider Name | Tracy A Haradon |
| First Address | Springfield, MA 01108-2320 |
| Second Address | Springfield, MA 01108-2320 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000027519 | BOSTON MEDICAL CENTER HEA (01) | MA |
| 0030314 | NEIGHBORHOOD HEALTH PLAN (01) | MA |
| 0392251 | (05) | MA |
| 19101 | HEALTH NEW ENGLAND (01) | MA |
| 22-00401 | EVERCARE SENIOR OPTIONS (01) | MA |
| 2215920 | FIRST HEALTH (01) | MA |
| 2301488 | UNITED HEALTHCARE (01) | MA |
| 2748922 | CIGNA (01) | MD |
| 410106 | TUFTS HEALTH PLANS (01) | MA |
| 50449 | CHILDRENS MEDICAL SECURIT (01) | MA |
| 5310173 | AETNA (01) | MA |
| 970751 | NETWORK HEALTH (01) | MA |
| AA11181 | HARVARD PILGRIM (01) | MA |
| U54352 | (02) | MA |
| W15973 | BLUE CROSS BLUE SHIELD (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.