Individual
BOBBY JOE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6315 PEARL RD STE 206, PARMA HEIGHTS, OH 44130-3074
(440) 613-5222
(440) 613-5222
Mailing address
712 PALMER AVE, YOUNGSTOWN, OH 44502-2531
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.017156-S
OH
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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