Individual
DR. TRAVIS TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8089 HIGHWAY 72 W, SUITE A, MADISON, AL 35758-9530
(256) 325-9465
(256) 325-9467
Mailing address
PO BOX 207243, DALLAS, TX 75320-7243
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC98
AL
Other
Enumeration date
07/30/2013
Last updated
09/08/2021
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