Individual provider · Type 1 NPI

Tracey Nicole Rosenlicht, OD

Optometrist · Southampton, NY

NPI number 1174374037 Active

Practice location

414 County Road 39A
Southampton, NY 11968-5257

Fax (631) 287-2946

Mailing address

40 Mcculloch Dr
Dix Hills, NY 11746-8328

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X011154 (NY)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1174374037

Tracey Nicole Rosenlicht, OD's National Provider Identifier is 1174374037, issued on Mar 28, 2024. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Southampton, NY. The record was last updated on Oct 27, 2026.