Ira Stephen Tucker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

977 Issued in NC

Practice address

570 New Waverly PL
Suite 110
Cary, NC 27511-7405

Phone

(919) 858-7555

Fax

(919) 858-8455

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Dr. Ira Tucker and Associates

  • Optometrist
  • Cary, NC
  • NPI 1891936886
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437203569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 NEW WAVERLY PL",
            "address_2": "SUITE 110",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117405",
            "telephone_number": "919-858-7555",
            "fax_number": "919-858-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 NEW WAVERLY PL",
            "address_2": "SUITE 110",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117405",
            "telephone_number": "919-858-7555",
            "fax_number": "919-858-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "IRA",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond J Tseng, DDS, PHD
• TTG Medical Supplies LLC
• Roftana Tuccu
• Tucker & Associates PLLC (Sunrise Dental Cary)
• Samantha Maureen Tucker-Canal, CNM
• Jordan Tucker, DDS
• McKenzie Tucker, MD
• Jordan Tuggle
• Saio Turay
• Jazmein Turnage

• Optometrist in Cary, NC
• Providers in Cary, NC by specialty
• Optometrist in North Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.