| 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 |