Jody Tacker (NPI# 1003824723, PAC ID# 7810901915) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1003824723 |
| PAC ID by PECOS | 7810901915 |
| Professional Enrollment ID | I20060127000409 |
| Full Name | Jody Tacker |
| Organization Legal Name | CORSICANA ENVISION EYECARE PA |
| Address |
202 W 5th Ave Corsicana TX 75110-5202 |
| Phone Number | 9038725681 |
| Gender | F |
| Credential | OD |
| Graduation Year | 2005 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0648484733 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 202 W 5th Ave, Corsicana, TX 75110-5202 | 9038725681 | CORSICANA ENVISION EYECARE PA |
| Organization Legal Name | CORSICANA ENVISION EYECARE PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max J Worley | Optometry | Corsicana Envision Eyecare Pa | 202 W 5th Ave, Corsicana, TX 75110-5202 |
| Street Address |
202 W 5TH AVE |
| City | CORSICANA |
| State | TX |
| Zip | 75110-5202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max J Worley | Optometry | Corsicana Envision Eyecare Pa | 202 W 5th Ave, Corsicana, TX 75110-5202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Hanna | Nurse Practitioner | Gantt Medical Pllc | 3200 W Hwy 22, Corsicana, TX 75110 |
| John M Biltz | Dermatology | Oliver Street 5.01(a) Inc. | 401 Hospital Dr, Suite 100, Corsicana, TX 75110-2415 |
| Joleen M Volz | Physician Assistant | Oliver Street 5.01(a) Inc. | 401 Hospital Dr, Suite 100, Corsicana, TX 75110-2415 |
| Robert G Kingman | General Surgery | Medical and Surgial Associates of Corsicana Pllc | 401 Hospital Dr, Corsicana, TX 75110-2415 |
| Shawkat N Shafik | Nephrology | Medical and Surgial Associates of Corsicana Pllc | 401 Hospital Dr, Corsicana, TX 75110-2415 |
| Kent E Rogers | Internal Medicine | Medical and Surgial Associates of Corsicana Pllc | 401 Hospital Dr, Corsicana, TX 75110-2415 |
| Janquilyn D Merida | Nurse Practitioner | Medical and Surgial Associates of Corsicana Pllc | 401 Hospital Dr, Corsicana, TX 75110-2415 |
| Katherine Heimer | Physician Assistant | Oliver Street 5.01(a) Inc. | 401 Hospital Dr, Suite 100, Corsicana, TX 75110-2415 |
| Dale K Campbell | Family Medicine | Medical and Surgial Associates of Corsicana Pllc | 401 Hospital Dr, Corsicana, TX 75110-2415 |
| Vahe R Dayian | Family Medicine | Southwest Dallas Family Medical Association, P.a. | 401 Hospital Dr, Suite 140, Corsicana, TX 75110-2415 |
| Find all physicians in zip 75110 | |||
| City | CORSICANA |
| Zip Code | 75110 |
| Specialty | OPTOMETRY |
| City + Specialty | CORSICANA + OPTOMETRY |
Please comment or provide details below to improve the information on Jody Tacker.
| 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.