Michael A Tucker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPD - 100304 Issued in ID

Practice address

1155 Pocatello Creek Rd
Pocatello, ID 83201-2949

Phone

(208) 233-2020

Fax

(208) 233-2021

NPI assigned

Jun 16, 2014

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

Medicare fee-for-service enrollment

Enrolled in ID

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

Southern California College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alameda Vision Inc 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Alameda Vision Inc.

  • Optometrist
  • Pocatello, ID
  • NPI 1114901535

  ID

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1902210107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 POCATELLO CREEK RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012949",
            "telephone_number": "208-233-2020",
            "fax_number": "208-233-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 POCATELLO CREEK RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012949",
            "telephone_number": "208-233-2020",
            "fax_number": "208-233-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "OPD - 100304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri Med
• Aesha Pratin Trivedi
• Truenorth Counseling & Consulting, LLC
• Emmerson Tucker
• Lindsay Anne Tucker, AU.D.
• Shelby Leigh Turk Rice, LPC, CRC, NCC
• Jared G Turner, PHARM D
• Roberta Lynn Turner, FNP
• Trent P Turner, LCSW
• Turning Point Counseling & Partial Care Center, Inc

• All providers in Pocatello, ID
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.