Provider Demographics
NPI:1952414641
Name:SCHMITT, TRACY
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:TRACY
Other - Middle Name:
Other - Last Name:HEFFRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:3681 WILMINGTON RD.
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036
Mailing Address - Country:US
Mailing Address - Phone:513-934-1152
Mailing Address - Fax:
Practice Address - Street 1:1530 WALMART DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-7342
Practice Address - Country:US
Practice Address - Phone:513-932-2993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5042T1919152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist