Healthcare Provider Details

I. General information

NPI: 1407801814
Provider Name (Legal Business Name): STEPHANIE TURPEN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 10/28/2020
Certification Date: 10/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 JOHN R RD STE 150
TROY MI
48083-5859
US

IV. Provider business mailing address

684 S LAPEER RD
LAKE ORION MI
48362-2918
US

V. Phone/Fax

Practice location:
  • Phone: 248-577-3659
  • Fax: 248-588-9917
Mailing address:
  • Phone: 248-693-3380
  • Fax: 248-693-0910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberST003750
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: