DR. MICHAEL A TUCKER (NPI# 1902210107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902210107 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A TUCKER |
| Credential | O.D. |
| Practice Address |
1155 Pocatello Creek Rd Pocatello ID 83201-2949 |
| Practice Telephone | 2082332020 |
| Practice Fax Number | 2082332021 |
| Mailing Telephone | 2082332020 |
| Mailing Fax Number | 2082332021 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPD - 100304 | ID | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417332321 | Michael Tucker | Physician Assistant | 5171 N Santa Monica Blvd, Apt 4, Milwaukee, WI 53217-5538 | 2015-07-22 |
| 1699073783 | Michael David Tucker | Counselor | 309 W 12th St., Vancouver, WA 98660-1209 | 2011-03-14 |
| 1962524793 | Michael C Tucker | Counselor | 748 Timbercreek Road, Dixon, IL 61021 | 2007-04-04 |
| 1962554535 | Michael Randolph Tucker | Dentist | 502 Prairie, Winnsboro, LA 71295 | 2007-01-17 |
| 1477661882 | Michael C Tucker | Chiropractor | 7721 Dollarway Rd, Suite 1, White Hall, AR 71602 | 2006-08-26 |
| 1972148930 | Michael Tucker | Case Manager/Care Coordinator | 2000 Aldersgate Rd, Little Rock, AR 72205-7018 | 2019-11-14 |
| 1306489463 | Michael Tucker | Anesthesiologist Assistant | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2019-10-22 |
| 1881247328 | Michael Tucker | Dentist | 222 N Chelan Ave, Wenatchee, WA 98801-2105 | 2019-07-23 |
| 1831471457 | Michael A Tucker | Pharmacist | 7338 Dixie Hwy, Louisville, KY 40258-3722 | 2011-09-10 |
| 1073703187 | Michael James Tucker | Orthopaedic Surgery | 900 Cooper Ave, Suite 3100, Saginaw, MI 48602-5182 | 2007-07-26 |
| Street Address |
1155 POCATELLO CREEK RD |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629063284 | Douglas Gushwa | Optometrist | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 | 2005-09-20 |
| 1407353428 | Advanced Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 | 2018-04-06 |
| 1114901535 | Alameda Vision Inc. | Optometrist | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 | 2005-11-30 |
| 1518949684 | David K Croshaw | Podiatrist | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 | 2005-11-15 |
| 1124014295 | Jamie Thomas | Optometrist | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 | 2005-09-23 |
| 1023003696 | Rich Clouse | Optometrist | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598258055 | Daniel Christopher Kunz | Optometrist | 4191 Poleline Rd Ste C, Pocatello, ID 83202-2402 | 2018-06-10 |
| 1992198675 | Vistec LLC | Optometrist | 1246 Yellowstone Ave Ste A4, Pocatello, ID 83201-4372 | 2015-03-05 |
| 1063556116 | Arnel Roy Baird | Optometrist | 301 S 4th Ave, C-2, Pocatello, ID 83201-6462 | 2007-02-20 |
| 1740385723 | Michael R Flandro | Optometrist | 360 South Arthur Ave, Pocatello, ID 83204 | 2006-09-14 |
| 1760435143 | Wallace Lloyd Christensen | Optometrist | 1246 Yellowstone Ave, Suite A4, Pocatello, ID 83201-4374 | 2006-05-18 |
| 1952353716 | Jay Leslie Borgholthaus | Optometrist | 301 S 4th Ave # C-2, Pocatello, ID 83201-6462 | 2006-05-17 |
| 1629063284 | Douglas Gushwa | Optometrist | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 | 2005-09-20 |
| 1588938674 | 2020 Family Eyecare Pllc | Optometrist | 301 S 4th Ave, #c-2, Pocatello, ID 83201-6462 | 2012-03-07 |
| 1851411276 | Arnel R Baird | Optometrist | 301 S 4th Ave, C-2, Pocatello, ID 83201-6462 | 2007-03-30 |
| 1346251063 | Norman Gregory Richardson | Optometrist | 475 Yellowstone Ave, Suite G, Pocatello, ID 83201-4528 | 2006-08-10 |
| Find all providers in POCATELLO | ||||
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| 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.