NPI 1104976760

Tracy D. Burroughs, OD

Practitioner Optometrist Glen Burnie, MD

Practice location

Address: 806 Landmark Dr Suite 114, Glen Burnie, MD 21061-4980
Phone: (410) 590-9260
Mailing address: 806 Landmark Dr STE 114, Glen Burnie, MD 21061-4966

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TA1304 (MD)

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Registry record

NPI: 1104976760
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2007
Record last updated: 21 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.