Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACIE MALSOM, OD
ActiveTRACIE MALSOM, OD is a Optometrist healthcare provider located in FARGO, North Dakota. NPI 1720038441 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FARGO, ND
Registration Details
- NPI Number
- 1720038441
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2006 (20.218613303875 yrs)
- Last Updated
- Sep 27, 2013
- Licenses
-
18003360 (IN)642 (ND)3046 (MN)
Practice Information
- Address
-
1695 43RD ST SFARGO, ND, 581033317Browse ND providers · Browse ZIP 58103
- Phone
- 7012353937
- Fax
- 7013563937
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
Other Optometrist Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| GARY L RENIER | O.D. | 1205831427 |
| DR. BRADLEY JAMES ULLAND | O.D. | 1477518959 |
| DR. NATHAN L. VETTER | OD | 1922064633 |
| AMY M MITZEL DUBOIS | OD | 1144275702 |
| JAMES A MCANDREW JR. | OD | 1932154226 |
| DR. KEVIN LYLE MELICHER | OD | 1144257965 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.