DR. CHARLES L TUCKER (NPI# 1033189501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033189501 |
| Entity Type | Individual |
| Full Name | DR. CHARLES L TUCKER |
| Credential | MD |
| Practice Address |
724 Arden Lane Suite 220 Rock Hill SC 29732 |
| Practice Telephone | 8033232020 |
| Practice Fax Number | 8033297897 |
| Mailing Telephone | 8033232020 |
| Mailing Fax Number | 8033297897 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
51916 | NC | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
28369 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 1861433013 | 01 | |
| SC | 283696 | 05 | |
| NC | 5903003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497039135 | Charles Lee Tucker I | Counselor | 12925 Ne 59th St, Spencer, OK 73084-8605 | 2011-09-29 |
| 1285848887 | Charles Morton Tucker | Psychologist | 900 Summit La, Oreland, PA 19075-2526 | 2007-05-10 |
| 1831204478 | Charles Thomas Tucker | Internal Medicine | 111 Colonial Way Ste 2, Jesup, GA 31545-0132 | 2006-08-21 |
| 1124055322 | Charles Thomas Tucker | Chiropractor | 2516 Nw 43rd St, Gainesville, FL 32606-7491 | 2006-06-26 |
| 1639173396 | Charles L Tucker | Family Medicine | 195 Hospital Dr, Cherokee Village, AR 72529-7314 | 2005-06-10 |
| 1902405392 | Charles Thomas Tucker IIi | Chiropractor | 3014 Wade Hampton Blvd, Taylors, SC 29687-2716 | 2020-10-19 |
| 1043853278 | Charles Mahlon Tucker | Physical Therapy Assistant | 112 W Citrus St, Altamonte Springs, FL 32714-2502 | 2019-10-21 |
| 1023662921 | Charles Tucker | Pharmacist | 200 S Rachal St, Sinton, TX 78387-2524 | 2019-07-29 |
| 1497255244 | Charles Edward Tucker | Counselor | 3088 Cranberry Hwy Ste A, East Wareham, MA 02538-4800 | 2018-02-19 |
| 1295893030 | Charles Douglas Tucker | Surgery | 300 S 8th St, Suite 205 E, Murray, KY 42071-2400 | 2006-12-05 |
| Street Address |
724 ARDEN LANE SUITE 220 |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114908860 | Thomas Hunter Olson | Podiatrist | 724 Arden Lane, Suite 200, Rock Hill, SC 29732-3257 | 2005-11-09 |
| 1861433013 | Retina Institute of The Carolinas | Ophthalmology | 724 Arden Lane, Suite 220, Rock Hill, SC 29732 | 2006-06-09 |
| 1730159401 | Nasrollah Samiy | Ophthalmology | 724 Arden Lane, Suite 220, Rock Hill, SC 29732 | 2006-01-25 |
| 1962472639 | Arman K Farr | Ophthalmology | 724 Arden Lane, Suite 220, Rock Hill, SC 29732 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730159401 | Nasrollah Samiy | Ophthalmology | 724 Arden Lane, Suite 220, Rock Hill, SC 29732 | 2006-01-25 |
| 1962472639 | Arman K Farr | Ophthalmology | 724 Arden Lane, Suite 220, Rock Hill, SC 29732 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463142 | Hilton Head Retina Institute, LLC | Ophthalmology | 15 Lafayette Pl Ste C, Hilton Head Island, SC 29926-2277 | 2020-10-06 |
| 1417581638 | South Carolina Retina Institute LLC | Ophthalmology | 1404 Main St, Conway, SC 29526-3567 | 2020-02-26 |
| 1457301996 | William Fort Crosswell | Ophthalmology | 1920 Pickens St, Columbia, SC 29201 | 2006-05-12 |
| 1982662847 | Derek L Barker | Ophthalmology | 1920 Pickens St, Columbia, SC 29201-2632 | 2006-05-02 |
| 1538142179 | James G Hall | Ophthalmology | 1126 Grove Rd, Greenville, SC 29605-4620 | 2005-11-29 |
Please comment or provide details below to improve the information on DR. CHARLES L TUCKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.