Robert P Tucker Iii, M.d. P.c. | |
9875 Medlock Bridge Pkwy, #100, Alpharetta, GA 30022-6630 | |
(770) 813-0026 | |
(770) 813-0029 |
Full Name | Robert P Tucker Iii, M.d. P.c. |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 9875 Medlock Bridge Pkwy, Alpharetta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487720504 | NPI | - | NPPES |
00319514-B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Robert P Tucker |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1639113822 PECOS PAC ID: 8426071838 Enrollment ID: I20101005000057 |
Provider Name | Herman Salmenson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720022916 PECOS PAC ID: 1153513478 Enrollment ID: I20101005001016 |
Provider Name | William Bonner |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750309597 PECOS PAC ID: 3971790213 Enrollment ID: I20101213000235 |
Provider Name | Christopher T Luft |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063851327 PECOS PAC ID: 3072853670 Enrollment ID: I20190318002860 |
Provider Name | Junhee Lee |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1285677229 PECOS PAC ID: 8527078211 Enrollment ID: I20210311001440 |
Mailing Address | Practice Location Address |
---|---|
Robert P Tucker Iii, M.d. P.c. 9875 Medlock Bridge Pkwy, #100, Alpharetta, GA 30022-6630 Ph: (770) 813-0026 | Robert P Tucker Iii, M.d. P.c. 9875 Medlock Bridge Pkwy, #100, Alpharetta, GA 30022-6630 Ph: (770) 813-0026 |