Joe C. Tucker, O.D., P.C.S

Primary specialty

OptometristTaxonomy code 152W00000X

License

940DT Issued in KY

Legal business name

JOE C. TUCKER, O.D., P.C.S

Practice address

1220 Ashley Cir
Bowling Green, KY 42104-3338

Phone

(270) 843-3904

Fax

(270) 781-4015

NPI assigned

Jul 2, 2006

Organization subpart

Yes

Parent organization

JOE C. TUCKER, O.D., P.C.SAs reported in NPPES

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

Authorized official

Name

Joseph Clay Tucker, O.D.

Title

Owner and Optometrist

Phone

(270) 843-4082

Specialties & licenses 1

Addresses

Part of

Joe C Tucker OD PCS

Locations

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1164451019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 ASHLEY CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043338",
            "telephone_number": "270-843-4082",
            "fax_number": "270-781-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 ASHLEY CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043338",
            "telephone_number": "270-843-3904",
            "fax_number": "270-781-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE C. TUCKER, O.D., P.C.S",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOE C. TUCKER, O.D., P.C.S",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "OWNER AND OPTOMETRIST",
        "authorized_official_telephone_number": "270-843-4082",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "940DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.