Joseph Clay Tucker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0940DT Issued in KY

Practice address

335 New Towne Rd
Bowling Green, KY 42103-7966

Phone

(270) 842-0383

Fax

(270) 842-0485

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breiwa, Ware and Jeskie PSCGroup PAC ID 7517986722, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Breiwa Ware & Jeskie PSC

  • Optometrist
  • Bowling Green, KY
  • NPI 1841331691
  Medicare reassignment Care Compare group NPD
• Breiwa, Ware & Jeskie PSC

  • Optometrist
  • Scottsville, KY
  • NPI 1659594992
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1679534457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 NEW TOWNE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037966",
            "telephone_number": "270-842-0383",
            "fax_number": "270-842-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 NEW TOWNE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037966",
            "telephone_number": "270-842-0383",
            "fax_number": "270-842-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JOSEPH",
        "middle_name": "CLAY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0940DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77009405",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trusted Senior Care, LLC
• Samantha Nan Tryon, OTR/L
• Stephanie Tseng, DMD
• Tina Michelle Tuck-Roche, RT
• Lauren Elizabeth Tuck, PHARMD
• Noel Marie Tucker, BA
• Kyra Tuley, LCSW, TCADC
• Tullio Emanuele MD, PSC
• Cassandra Jo Tumanis, RN
• Katherine Tunstill, LCSW

• Optometrist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.

Verify at the official NPI Registry.