OrganizationActive
Paul Tracy OD
NPI 1043485949 · Optometrist · Hannibal, MO
Provider details
- NPI number
- 1043485949
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Paul Tracy, Owner(573) 406-1503
- License
- 2001020432 (MO)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3650 Stardust Dr
Hannibal, MO 63401-2480
Phone: (573) 406-1503
Fax: (573) 406-1057
Street-level locationGet directions
Mailing address
2316 Briar Ln
Quincy, IL 62305-6574
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2012-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.