Individual
DIANE L TUCKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(180) 022-3227
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(216) 986-1314
(216) 986-1191
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4030T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0766890
—
OH
Enumeration date
05/04/2006
Last updated
07/08/2007
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