Robert P Tucker III, M.D. P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ROBERT P TUCKER III, M.D. P.C.

Practice address

9875 Medlock Bridge Pkwy
#100
Alpharetta, GA 30022-6630

Phone

(770) 813-0026

Fax

(770) 813-0029

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Susan Lehmann

Title

Practice Administrator

Phone

(770) 813-0026

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1487720504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9875 MEDLOCK BRIDGE PKWY",
            "address_2": "#100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226630",
            "telephone_number": "770-813-0026",
            "fax_number": "770-813-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9875 MEDLOCK BRIDGE PKWY",
            "address_2": "#100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226630",
            "telephone_number": "770-813-0026",
            "fax_number": "770-813-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P TUCKER III, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "LEHMANN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-813-0026",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00319514-B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.