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NPI Code Detail

MEDICARE: TURNER VISION OF TENNESSEE, PSC

MEDICARE: TURNER VISION OF TENNESSEE, PSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152WC0802XCorneal and Contact Management Optometrist2310TN
2152WP0200XPediatric Optometrist2310TN
3152WV0400XVision Therapy Optometrist2310TN
4152W00000XOptometrist2310TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14079336OTHERTNBLUE CROSS BLUE SHIELD
2880251302OTHERTNTRICARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558306043
Entity Type Code : Organization
Provider Name (Legal Business Name) : TURNER VISION OF TENNESSEE, PSC
Provider Business Mailing Address
First Line : 3051 KINZEL WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37924-2190
Country : US
Telephone Number : 865-637-7775
Fax Number : 865-524-6113
Provider Business Practice Location Address
First Line : 3051 KINZEL WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37924-2190
Country : US
Telephone Number : 865-637-7775
Fax Number : 865-524-6113
Authorized Official
Title or Position : PRESIDENT
Name : DR. MATHEW E TURNER
Credential : O.D.
Telephone Number : 865-637-7775
Provider Enumeration Date : 06/18/2006
Last Update Date : 06/18/2008

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Directions to “TURNER VISION OF TENNESSEE, PSC ” Practice Location

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