William Tucker MD PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

WILLIAM TUCKER MD PLLC

Practice address

4000 Medical Center Dr
Suite 207
Fayetteville, NY 13066-6631

Phone

(315) 637-1010

Fax

(315) 637-2010

NPI assigned

Feb 20, 2007

Last updated

Dec 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William M Tucker, MDNPI 1730273806

Title

Physician

Phone

(315) 637-1010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William M Tucker, MD

  • Ophthalmology Physician
  • Fayetteville, NY
  • NPI 1730273806
  Medicare reassignment NPD Authorized official
• Anne Sara Negrin, M.D.

  • Ophthalmology Physician
  • Purchase, NY
  • NPI 1487661104
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1619011715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 STATE ROUTE 31",
            "address_2": "SUITE 104",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398715",
            "telephone_number": "315-752-0141",
            "fax_number": "315-752-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL CENTER DR",
            "address_2": "SUITE 207",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666631",
            "telephone_number": "315-637-1010",
            "fax_number": "315-637-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM TUCKER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "315-637-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Wayne White Jr., REGISTERED NURSE
• Kristin White, RPH
• Beth Thomas Wiedeman, MD.
• Natasha Marie Wilcox, MSN, APRN, FNP-BC
• William G. Patrick, M.D., P.C. (Fayetteville Dermatology)
• Howard J Williams, MD
• Tanya Estella Williamson, PH.D.
• Alison D Willis, RPH
• Calista Mary Winders, PA-C
• William Wojnowicz, RPH

• Ophthalmology Physician in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.