WILLIAM TUCKER MD PLLC
NPI 1619011715
Ophthalmology in Fayetteville, NY

Q: What is William Tucker MD PLLC's NPI number?

The NPI number for William Tucker MD PLLC is 1619011715. It was assigned to this organization in the NPPES registry on February 20, 2007.

Q: What is William Tucker MD PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since February 20, 2007CLIA 33D2055123 · Waiver

4000 MEDICAL CENTER DR, SUITE 207, FAYETTEVILLE, NY 13066(315) 637-1010(315) 637-2010 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About William Tucker Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM TUCKER MD PLLC (NPI 1619011715) is a healthcare organization registered as an ophthalmology in Fayetteville, New York and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists William M Tucker, Physician, as its authorized official.

NPPES Registry Identity

NPI1619011715

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameWILLIAM TUCKER MD PLLC

Location Address4000 MEDICAL CENTER DR, SUITE 207Fayetteville, NY 13066-6631

Mailing Address6221 State Route 31, Suite 104Cicero, NY 13039-8715 · (315) 752-0141 · Fax (315) 752-0142

Phone(315) 637-1010

Fax(315) 637-2010

Organization SubpartNo

Authorized OfficialWilliam M TuckerPhysician · (315) 637-1010

Enumeration DateFebruary 20, 2007

Last NPPES UpdateDecember 2, 2010

✔ NPI 1619011715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

4000 MEDICAL CENTER DR, Fayetteville, NY 13066

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2055123

William M Tucker, MD, PLLC · Fayetteville, NY

Active · expires Mar 5, 2027

CLIA Number33D2055123

Laboratory TypePhysician Office

Certificate Effective DateMarch 6, 2025

Certificate Expiration DateMarch 5, 2027

Laboratory DirectorDr. William M. Tucker

Laboratory Phone(315) 637-1010

Laboratory LocationWilliam M Tucker, MD, PLLC4000 Medical Center Drive, Suite 207, Fayetteville, NY 13066

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUI WANG

Acupuncturist

4000 MEDICAL CENTER DR, SUITE 209
FAYETTEVILLE, NY 13066

Onondaga County (315) 329-7666

UNITY MOVE PHYSICAL THERAPY WELLNESS PLLC

Clinic/Center (Physical Therapy)

4000 MEDICAL CENTER DR, STE 108
FAYETTEVILLE, NY 13066

Onondaga County (315) 961-6007

TARA BRACKLEY OD

Optometrist

4000 MEDICAL CENTER DR, SUITE 207
FAYETTEVILLE, NY 13066

Onondaga County (315) 637-1010

GERARD S RODZIEWICZ MD

Neurological Surgery

4000 MEDICAL CENTER DR, SUITE 108
FAYETTEVILLE, NY 13066

Onondaga County (315) 637-7900

DEVYN LEIGH HARDY FNP-C

Nurse Practitioner (Family)

4000 MEDICAL CENTER DR, UNIT 110
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

ROSHAN GHIMIRE MD

Family Medicine

4000 MEDICAL CENTER DR, SUITE 104
FAYETTEVILLE, NY 13066

Onondaga County (315) 637-7878

DENISE C. WOLKEN, MD PLLC

Pediatrics

4000 MEDICAL CENTER DR, SUITE 214
FAYETTEVILLE, NY 13066

Onondaga County (315) 991-4180

LAUREN KRISAK GILKEY RPA-C

Physician Assistant

4000 MEDICAL CENTER DR, SUITE 101 D
FAYETTEVILLE, NY 13066

Onondaga County (315) 637-7878

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Tucker MD PLLC's NPI number?

The NPI number for William Tucker MD PLLC is 1619011715. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is William Tucker MD PLLC located?

William Tucker MD PLLC is located at 4000 Medical Center Dr Suite 207, Fayetteville, NY 13066. The listed phone number is (315) 637-1010.

What is William Tucker MD PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does William Tucker MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2055123) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for William Tucker MD PLLC was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.