Individual
DR. THOMAS E. TUCKER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1212 HAYWOOD RD, SUITE 600, GREENVILLE, SC 29615-2200
(864) 234-7700
(864) 288-7180
Mailing address
1212 HAYWOOD RD, SUITE 600, GREENVILLE, SC 29615-2200
(864) 234-7700
(864) 288-7180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
699
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
699
PROFESSIONAL
SC
05
—
DO6991
—
SC
Enumeration date
11/09/2005
Last updated
11/02/2010
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