Individual provider Active NPI

David N Tucker, O.D.

  • Optometrist
  • Paducah, KY
National Provider Identifier
1194790352
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
937DT Issued in KY
Practice address
1748 Broadway St
Paducah, KY 42001-2706
Phone
(270) 443-9955
Fax
(270) 442-1469
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 937DT KY Primary
Specialist 174400000X 937DT KY

Addresses

Primary practice location

1748 Broadway St
Paducah, KY 42001-2706

Mailing address

PO Box 7009
Paducah, KY 42002-7009
Phone (270) 443-9955

Other identifiers 5

IdentifierTypeStateIssuer
5789371OtherKYAETNA
000000050469OtherKYBLUE CROSS BLUE SHIELD
Y54702OtherKYBLUEGRASS FAMILY HEALTH
390982OtherKYHEALTHLINK
77009371MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MO2 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

Enrollment IDStateProvider typePAC IDDetails
I20100712000718 KY Practitioner - Optometry 7719019629 Reassigns benefits to 2 organizations
I20251015002254 MO Practitioner - Optometry 7719019629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William F. Metzger, PSC 11 clinicians

Practice addresses (Care Compare)

4350 Brownsboro Rd
Suite 210
Louisville, KY 40207-1681
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
937DTKYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Midwest Inc Optometrist Current Accepting new patients
Seibert Mobile Optometry LLC Optometrist CurrentSince Sep 23, 2025 Accepting new patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Jan 8, 2017 Accepting new patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Jan 8, 2017 Accepting new patients
William F. Metzger, PSC Optometrist CurrentSince Sep 4, 2025 Accepting new patients

Locations

3978 Alexandria Pike
Cold Spring, KY 41076
Phone (859) 441-8500

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661

1748 Broadway St
Paducah, KY 42001
Phone (270) 443-9955

Interoperability endpoints

  • Direct secure messaging: david-t@direct.eyecare-partners.com
  • Direct secure messaging: david-t.keca@direct.ocuhub.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1194790352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7009",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027009",
            "telephone_number": "270-443-9955",
            "fax_number": "270-442-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420012706",
            "telephone_number": "270-443-9955",
            "fax_number": "270-442-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "DAVID",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "937DT",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "937DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5789371",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000050469",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY HEALTH",
            "identifier": "Y54702",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "390982",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77009371",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.