| Tracey Weng, OD | |
|
4110 Mystic Valley Pkwy, Medford, MA 02155-6931 | |
| (781) 350-7008 | |
| Not Available |
| Full Name | Tracey Weng |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 2 Years |
| Location | 4110 Mystic Valley Pkwy, Medford, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720762305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5627 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Natick Eye Holdings, Llc | 3173067527 | 8 |
| Provider Name | Lickteig Family Eyecare Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063720498 PECOS PAC ID: 6002096328 Enrollment ID: O20110203000603 |
| Provider Name | Natick Eye Holdings, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467214254 PECOS PAC ID: 3173067527 Enrollment ID: O20240627000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Weng, OD 15 Grape St, Malden, MA 02148-5710 Ph: () - | Tracey Weng, OD 4110 Mystic Valley Pkwy, Medford, MA 02155-6931 Ph: (781) 350-7008 |
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