Tia Marie Tucker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5982 Issued in OH

Practice address

4240 Secor Rd
Toledo, OH 43623-4238

Phone

(419) 475-6605

NPI assigned

Aug 11, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kruszewski Optometry PLLCGroup PAC ID 0941422729, 2 clinicians

Dr. Marra, Optometrist, LLCGroup PAC ID 5890014989, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Marra, Optometrist, LLC

  • Optometrist
  • Sylvania, OH
  • NPI 1578950879
  Medicare reassignment Care Compare group NPD
• Kruszewski Optometry, PLLC

  • Optometrist
  • Monroe, MI
  • NPI 1043612435
  Medicare reassignment Care Compare group NPD
• Thomas J. Overberg, O.D., Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fremont, OH
  • NPI 1013173186
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1134434350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234238",
            "telephone_number": "419-475-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234238",
            "telephone_number": "419-475-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "TIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064376",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Patricia Tucker
• Melinda Tucker, APRN, CNP
• Olga Elizabeth Tucker
• Shaun Tucker
• Shelby Tucker, CNP
• Chad Eric Tuckerman, PHARM.D., BCPS
• Elisabeth Tuckor, PA-C
• Marisa Diane Tuggle, CNM
• Richard Y Tuggle Sr.
• Sunday Dionnie Tuggle

• Optometrist in Toledo, OH
• Providers in Toledo, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.