| Tracey Weng, OD | |
| 
					4110 Mystic Valley Pkwy, Medford, MA 02155-6931  | |
| (781) 350-7008 | |
| Not Available | 
| Full Name | Tracey Weng | 
|---|---|
| Gender | Female | 
| Speciality | Optometrist | 
| Location | 4110 Mystic Valley Pkwy, Medford, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720762305 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 5627 (Massachusetts) | Primary | 
| 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  | 
Dr. Linh Tu Trieu, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 21 High St, Medford, MA 02155 Phone: 781-393-5700 Fax: 508-655-4370  | |
Thomas A. Leavitt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 781-306-5184 Fax: 781-306-5303  | |
Dr Anthony W Iraca Of Medford Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4110 Mystic Valley Parkway, Medford, MA 02155 Phone: 781-391-1195 Fax: 781-395-7875  | |
Eminent Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 278 Middlesex Ave, Medford, MA 02155 Phone: 781-396-2322 Fax: 781-396-3353  | |
Bastian Eyecare Professionals Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12 Revere Pl, Medford, MA 02155 Phone: 508-517-0865  | |
Boston Laser Eye Institute- Winchester Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 92 High St, Unit T31, Medford, MA 02155 Phone: 781-396-4010 Fax: 617-734-3264  | |
Boston Laser Medford Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 92 High St, Unit T31, Medford, MA 02155 Phone: 781-396-4010  |