Tracey Weng, OD
Optometrist in Medford, Massachusetts
1720762305- Practice location
- 4110 Mystic Valley Pkwy, Medford, MA 02155-6931
- Phone
- 781-350-7008
- Fax
- —
- Last updated
- October 15, 2023
Tracey Weng is an Optometrist based in Medford, MA. Tracey Weng practices in Medford, MA and has the professional credentials of OD. The NPI Number for Tracey Weng is 1720762305 and holds a License No. 5627 (MA). The current practice location address for Tracey Weng is 4110 Mystic Valley Pkwy, Medford, MA 02155-6931 and can be reached out via phone at 781-350-7008.
Provider Profile Details
- NPI Number
- 1720762305
- Provider Name
- Tracey Weng
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4110 Mystic Valley Pkwy, Medford, MA 02155-6931
- Phone Number
- 781-350-7008
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 14, 2023
- Last Update Date
- October 15, 2023
- Certification Date
- October 15, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4110 Mystic Valley Pkwy
Medford, MA 02155-6931 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-6931
- Phone Number
- 781-350-7008
Provider Business Mailing Address Details
- Address
- 15 Grape St
Malden, MA 02148-5710 - City
- Malden
- State
- MA
- Zip
- 02148-5710
License Information
- License Number
- 5627
- License State
- MA
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tracey Weng, OD?
The NPI number of Tracey Weng, OD is 1720762305. It was assigned on June 14, 2023 and is currently active in the NPPES registry.
What is the specialty of Tracey Weng, OD?
Tracey Weng, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 5627.
Where does Tracey Weng, OD practice?
The practice location is 4110 Mystic Valley Pkwy, Medford, MA 02155-6931. The office can be reached at 781-350-7008 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720762305 directly on the NPPES registry website.