Active NPI
Howard Webster Tucker Jr., O.D.
- Optometrist
- Hartsville, SC
National Provider Identifier
1366450967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 454
- Practice address
- 504 S 4TH St
Hartsville, SC 29550-5720 - Phone
- (843) 332-7171
- Fax
- (843) 332-7802
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 454 | SC | Primary |
Addresses
Primary practice location
504 S 4TH St
Hartsville, SC 29550-5720
Mailing address
504 S 4TH St
Hartsville, SC 29550-5720
Phone (843) 332-7171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 454 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pee Dee Eye Associates PA | Optometrist | Past | Accepting new patients |
| Marlboro Eye Care Associates, LLC | Optometrist | Past | Accepting new patients |
| Pee Dee Eye Associates, PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
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
- Bennettsville, SC
- NPI 1669509980
-
- Optometrist
- Hartsville, SC
- NPI 1508973462
-
- Optometrist
- Sumter, SC
- NPI 1861894115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366450967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 S 4TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295505720",
"telephone_number": "843-332-7171",
"fax_number": "843-332-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 S 4TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295505720",
"telephone_number": "843-332-7171",
"fax_number": "843-332-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "HOWARD",
"middle_name": "WEBSTER",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.