Tucker, David N

Tucker, David N is an individual health care provider with primary practice located at 1748 Broadway St , Paducah KY 42001-2706. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Other Service Providers / Specialist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Tucker, David N can be contacted via phone (270) 443-9955.

Contact Information

Primary practice address
1748 Broadway St Paducah KY 42001-2706
Fax: (270) 442-1469
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 937DT Kentucky
Other Service Providers / Specialist 174400000X 937DT Kentucky

Profile Details

NPI number 1194790352
LBN Legal business name Tucker, David N
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194790352 NPPES
Kentucky Other 5789371 AETNA
Kentucky Other 000000050469 AETNA
Kentucky Other Y54702 AETNA
Kentucky Other 390982 AETNA
Kentucky MEDICAID 77009371 AETNA

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