Tukel -Kozlow Eye Center, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

TUKEL -KOZLOW EYE CENTER, PC

Practice address

1922 Monroe St
Dearborn, MI 48124-2917

Phone

(313) 274-7540

Fax

(313) 274-7544

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Bruce Tukel, MD

Title

President

Phone

(313) 274-7540

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tukel Eye Center Doing business as

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1679781306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242917",
            "telephone_number": "313-274-7540",
            "fax_number": "313-274-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242917",
            "telephone_number": "313-274-7540",
            "fax_number": "313-274-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUKEL -KOZLOW EYE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "TUKEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-274-7540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "OH24984",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tukel Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tukel Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jackie Tubaro, BSW/LBSW
• Kia Tuberville
• Charles Tucker
• Gervon Tucker
• Mark H Tucker, MD
• David Bruce Tukel, M.D.
• Jana Tumpkin McQueen, DDS
• Kuan Wei Tung
• Fuad Hassan Turfah, M.D.
• Mequita Turner-Bey

• Ophthalmology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.