Paul Tracy Od
Paul Tracy Od is a healthcare organization registered as Optometrist in Hannibal, MO, holding Type 2 (organization) NPI 1043485949 since 2008. The authorized official on file is Paul Tracy, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043485949 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Paul Tracy Od |
| Practice address | 3650 STARDUST DR, Hannibal, MO, 63401 |
| Phone | 5734061503 |
| Fax | 5734061057 |
| Enumeration date | 2008-04-23 |
| Last updated in NPPES | 2012-12-18 |
Authorized official
| Name | Paul Tracy |
|---|---|
| Title | Owner |
| Phone | 5734061503 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 2001020432 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39941018 | Other | MO | BLUECROSS BLUE SHIELD |
Copy-ready billing details
Provider: Paul Tracy Od NPI: 1043485949 Taxonomy: 152W00000X (Optometrist) Address: 3650 STARDUST DR, Hannibal, MO, 63401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407873730 | Wal-Mart Stores East Lp | Organization | Community/Retail Pharmacy | Hannibal, MO |
| 1205917044 | Wal-Mart Stores East, Lp | Organization | Eyewear Supplier | Hannibal, MO |
| 1366745713 | Jeanette Keller | Individual | Family Nurse Practitioner | Hannibal, MO |
| 1245510221 | Hannibal Regional Hospital | Organization | Multi-Specialty Clinic/Center | Hannibal, MO |
| 1083154991 | Hannibal Regional Healthcare System,Inc | Organization | Rural Health Clinic/Center | Hannibal, MO |
| 1043811367 | Judy Wilcox | Individual | Pharmacist | Hannibal, MO |
| 1881295129 | Bradley Heckman | Individual | Pharmacist | Hannibal, MO |
| 1588265797 | Julie Hamilton | Individual | Pharmacist | Hannibal, MO |
Verify this record
Cross-check NPI 1043485949 against the authoritative CMS record: view Paul Tracy Od on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Paul Tracy Od?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-12-18.