NPIMap

Organization Active NPI

Tucker Eye-Exam & Contact Lens Center

  • Optometrist
  • Orlando, FL
National Provider Identifier
1932424496
Registry record updated Mar 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
FL OPC #1977 Issued in FL
Legal business name
TUCKER EYE-EXAM & CONTACT LENS CENTER
Practice address
12950 E Colonial Dr
Suite # 100
Orlando, FL 32826-4609
Phone
(352) 361-5205
Fax
(800) 878-9609
NPI assigned
Mar 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2010

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

Authorized official

Name
Dr. Mariann Louise Tucker, O.D.
Title
President/Owner
Phone
(352) 361-5205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X FL OPC #1977 FL Primary

Addresses

Primary practice location

12950 E Colonial Dr
Suite # 100
Orlando, FL 32826-4609

Mailing address

3955 Hunters Ridge Way
Titusville, FL 32796-1855
Phone (352) 361-5202

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269734400000",
    "number": "1932424496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 HUNTERS RIDGE WAY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327961855",
            "telephone_number": "352-361-5202",
            "fax_number": "800-878-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 E COLONIAL DR",
            "address_2": "SUITE # 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264609",
            "telephone_number": "352-361-5205",
            "fax_number": "800-878-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER EYE-EXAM & CONTACT LENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-28",
        "last_updated": "2010-03-28",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MARIANN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "352-361-5205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL OPC #1977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2010; 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.