Provider Demographics
NPI:1093155947
Name:VOEGELI, TRACY (OD)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:
Last Name:VOEGELI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16708 BOTHELL EVERETT HWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-6345
Mailing Address - Country:US
Mailing Address - Phone:425-481-4440
Mailing Address - Fax:
Practice Address - Street 1:16708 BOTHELL EVERETT HWY
Practice Address - Street 2:SUITE 103
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-6345
Practice Address - Country:US
Practice Address - Phone:425-481-4440
Practice Address - Fax:425-481-4450
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD60378529152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist