Provider Demographics
NPI:1053463711
Name:ZEMEL, TRACY A (OD)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:A
Last Name:ZEMEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:TRACY
Other - Middle Name:
Other - Last Name:LETSCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:1351 E KEMPER RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3903
Practice Address - Country:US
Practice Address - Phone:513-771-9800
Practice Address - Fax:513-771-9440
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.004067152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000506545OtherANTHEM
OHLE4202487Medicare PIN
OHLE4202486Medicare PIN
OH0620475Medicare PIN
OHLE4202484Medicare PIN
OHLE4202485Medicare PIN
OH000000506545OtherANTHEM
OHLE4202483Medicare PIN
OHLE4256831Medicare PIN
OHLE4202488Medicare PIN