Individual provider Active NPI

Travis Tucker, O.D.

  • Optometrist
  • Madison, AL
National Provider Identifier
1841622073
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC98 Issued in AL
Practice address
8089 Highway 72 W
Suite a
Madison, AL 35758-9530
Phone
(256) 325-9465
Fax
(256) 325-9467
NPI assigned
Jul 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SC98 AL Primary

Addresses

Primary practice location

8089 Highway 72 W
Suite a
Madison, AL 35758-9530

Mailing address

PO Box 207243
Dallas, TX 75320-7243
Phone (636) 200-4393

Other practice location 1

21 Hughes Rd Ste 1
Madison, AL 35758-3040
Phone (256) 678-7990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20131009002054 AL Practitioner - Optometry 4789818725 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates, Inc.Group PAC ID 0749254001, 52 clinicians

Practice addresses (Care Compare)

21 Hughes Rd
Suite 1
Madison, AL 35758-3040
Phone (256) 678-7990

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC98ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Alabama LLC Optometrist CurrentSince Dec 26, 2017 Accepting new patients
Laser Eye Center PC CurrentSince Sep 1, 2020 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Jun 9, 2021 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Jun 9, 2021 Accepting new patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Dec 26, 2017 Accepting new patients
Rocket City Vision Care, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients

Locations

3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020

9056 Memorial Pkwy SW
Bldg E
Huntsville, AL 35802
Phone (256) 678-7966

2317 Memorial Pkwy SW
Ste 400
Huntsville, AL 35801
Phone (256) 469-2337

21 Hughes Rd
Ste 1
Madison, AL 35758
Phone (256) 678-7990

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1841622073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207243",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207243",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8089 HIGHWAY 72 W",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589530",
            "telephone_number": "256-325-9465",
            "fax_number": "256-325-9467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Hughes Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357583040",
            "country_code": "US",
            "telephone_number": "256-678-7990",
            "fax_number": "636-527-0276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SC98",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.