Active NPI
David N Tucker, O.D.
- Optometrist
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 937DT
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5789371 | Other | KY | AETNA |
| 000000050469 | Other | KY | BLUE CROSS BLUE SHIELD |
| Y54702 | Other | KY | BLUEGRASS FAMILY HEALTH |
| 390982 | Other | KY | HEALTHLINK |
| 77009371 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 937DT | KY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkson Optometry Midwest Inc | Optometrist | Current | Accepting new patients |
| Seibert Mobile Optometry LLC | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Midwest Inc | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Midwest Inc | Optometrist | Current | Accepting new patients |
| William F. Metzger, PSC | Optometrist | Current | 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
- david-t@direct.eyecare-partners.com
- 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.
-
- Optometrist
- Benton, KY
- NPI 1114475449
-
- Optometrist
- Clarksville, IN
- NPI 1295772143
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.