Active NPI
David Neil Tucker, M.D.
- Ophthalmology Physician
- Westport, CT
National Provider Identifier
1780854380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 099766-1
- Practice address
- 18 Hermit LN
Westport, CT 06880-1113 - Phone
- (203) 227-6582
- Fax
- (203) 227-0745
- NPI assigned
- Mar 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 099766-1 | NY | Primary |
Addresses
Primary practice location
18 Hermit LN
Westport, CT 06880-1113
Mailing address
18 Hermit LN
Westport, CT 06880-1113
Phone (203) 227-6582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099766-1 | NY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1780854380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 HERMIT LN",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068801113",
"telephone_number": "203-227-6582",
"fax_number": "203-227-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 HERMIT LN",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068801113",
"telephone_number": "203-227-6582",
"fax_number": "203-227-0745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "DAVID",
"middle_name": "NEIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "099766-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.