Most Relevant Information
Provider Data
| NPI Number: | 1003801077 |
| Provider Name: | TRACIE M KING O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | TA1597 |
Most Important Dates
| Enumeration Date: | 09/15/2005 |
| Last Updated: | 10/06/2023 |
Provider Practice Location
7310 ESQUIRE CT STE 3
BAY FAMILY EYE CARE
ELKRIDGE
MD
210755440
Practice Location Phone/Fax
| Phone: | 4107964555 |
| Fax: | 4107968606 |
Provider Mailing Location
7310 ESQUIRE CT STE 3
BAY FAMILY EYE CARE
ELKRIDGE
MD
210755440
Provider Mailing Phone/Fax
| Phone: | 4107964555 |
| Fax: | 4107968606 |