Charles L Tucker (NPI# 1033189501, PAC ID# 5890717920) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1033189501 |
| PAC ID by PECOS | 5890717920 |
| Professional Enrollment ID | I20060103000597 |
| Full Name | Charles L Tucker |
| Organization Legal Name | RETINA INSTITUTE OF THE CAROLINAS |
| Address |
724 Arden Ln Suite 220 Rock Hill SC 29732-2995 |
| Phone Number | 8033232020 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 0244257376 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2311 Aberdeen Boulevard, Suite B 2, Gastonia, NC 28056-0603 | 7048647722 | RETINA INSTITUTE OF THE CAROLINAS |
| 724 Arden Ln, Suite 220, Rock Hill, SC 29732-2995 | 8033232020 | RETINA INSTITUTE OF THE CAROLINAS |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 67% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | RETINA INSTITUTE OF THE CAROLINAS |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nasrollah Samiy | Ophthalmology | Retina Institute of The Carolinas | 2311 Aberdeen Boulevard, Suite B 2, Gastonia, NC 28056-0603 |
| Arman K Farr | Ophthalmology | Retina Institute of The Carolinas | 2311 Aberdeen Boulevard, Suite B 2, Gastonia, NC 28056-0603 |
| Street Address |
724 ARDEN LN SUITE 220 |
| City | ROCK HILL |
| State | SC |
| Zip | 29732-2995 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas H Olson | Podiatry | 724 Arden Ln, Suite 200, Rock Hill, SC 29732-3257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Carl Cedarholm | Interventional Cardiology | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-0269 |
| Crystal Rachelle Vaglia | Nurse Practitioner | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-0269 |
| Robert J Hosker | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Hyonah Kim | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Nathan Patrick Fergus | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Rickin Shah | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Brian Alan Perry | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Kelly Clifford | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| James Essenberg | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Richard D Redvanly | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Find all physicians in zip 29732 | |||
| City | ROCK HILL |
| Zip Code | 29732 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | ROCK HILL + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Charles L Tucker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.