Tucker-Ross Eye Associates, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TUCKER-ROSS EYE ASSOCIATES, P.C.

Practice address

490 Coventry LN
Ste. 201
Crystal Lake, IL 60014-7548

Phone

(815) 455-5034

Fax

(815) 455-5041

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark I Ross, O.D.

Title

Secretary/Treasurer

Phone

(815) 455-5034

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1821260787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 COVENTRY LN",
            "address_2": "STE. 201",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147548",
            "telephone_number": "815-455-5034",
            "fax_number": "815-455-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 COVENTRY LN",
            "address_2": "STE. 201",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147548",
            "telephone_number": "815-455-5034",
            "fax_number": "815-455-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER-ROSS EYE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "815-455-5034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Crystal Lake, IL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.