Individual
DR. LEONARD C. TUCKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6770 MAYFIELD RD, STE 338, MAYFIELD HTS, OH 44124-2299
(440) 442-4330
(440) 442-4695
Mailing address
6770 MAYFIELD RD, STE 338, MAYFIELD HTS, OH 44124-2299
(440) 442-4330
(440) 442-4695
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34-01-6145-T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130732
ANTHEM
OH
05
—
0116789
—
OH
01
—
102139
KAISER
OH
01
—
1120700001
ADMINISTAR FEDERAL
OH
01
—
31134
COLE MANAGED VISION
OH
01
—
341345260030
CARESOURCE
OH
Enumeration date
05/23/2005
Last updated
07/09/2007
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