Individual
JOSEPH CLAY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
335 NEW TOWNE RD, BOWLING GREEN, KY 42103-7966
(270) 842-0383
(270) 842-0485
Mailing address
335 NEW TOWNE RD, BOWLING GREEN, KY 42103-7966
(270) 842-0383
(270) 842-0485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0940DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77009405
—
KY
Enumeration date
03/31/2006
Last updated
01/07/2015
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