Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bobby Joe Tucker

Individual provider Eyewear Supplier · NPI 1750987079

Bobby Joe Tucker is an Eyewear Supplier in Parma Heights, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
Specialties on file
2

Practice location Address checks out

6315 Pearl Rd Ste 206
Parma Heights, OH 44130-3074
Phone: (440) 613-5222
Fax: (440) 613-5222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence OP.017156-S (OH)
Eyewear Supplier Taxonomy 332H00000X

Record details

NPI number1750987079
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 10, 2020
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020
Mailing address712 Palmer Ave, Youngstown, OH 44502-2531

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