Dr Steven M Tucker PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1120 Issued in FL

Legal business name

DR STEVEN M TUCKER PA

Practice address

9950 Griffin Road
Cooper City, FL 33328-3420

Phone

(954) 434-5500

Fax

(954) 434-5501

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Steven Michael Tucker, OD

Title

Owner Optometrist

Phone

(954) 434-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1942475173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 GRIFFIN ROAD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283420",
            "telephone_number": "954-434-5500",
            "fax_number": "954-434-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 GRIFFIN ROAD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283420",
            "telephone_number": "954-434-5500",
            "fax_number": "954-434-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STEVEN M TUCKER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "954-434-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084681300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Optometrist in Florida

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

Verify at the official NPI Registry.