Michael Allan Tucker (NPI# 1902210107, PAC ID# 2961627096) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1902210107 |
PAC ID by PECOS | 2961627096 |
Professional Enrollment ID | I20140703002092 |
Full Name | Michael Allan Tucker |
Organization Legal Name | ALAMEDA VISION INC. |
Address |
1155 Pocatello Creek Rd Pocatello ID 83201-2949 |
Phone Number | 2082332020 |
Gender | M |
Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
Graduation Year | 2014 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 6608995303 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 | 2082332020 | ALAMEDA VISION INC. |
Organization Legal Name | ALAMEDA VISION INC. |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jamie Thomas | Optometry | Alameda Vision Inc. | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 |
Coleman Stokes Anderson | Optometry | Alameda Vision Inc. | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 |
Street Address |
1155 POCATELLO CREEK RD |
City | POCATELLO |
State | ID |
Zip | 83201-2949 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jamie Thomas | Optometry | Alameda Vision Inc. | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 |
Joshua R Torman | Certified Registered Nurse Anesthetist (crna) | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 | |
Coleman Stokes Anderson | Optometry | Alameda Vision Inc. | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 |
Name | Specialty | Organization | Address |
---|---|---|---|
Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
Find all physicians in zip 83201 |
City | POCATELLO |
Zip Code | 83201 |
Specialty | OPTOMETRY |
City + Specialty | POCATELLO + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.