Healthcare Provider Details

I. General information

NPI: 1336175199
Provider Name (Legal Business Name): DANA ELIZABETH TURNER O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18593 BUSINESS 13 STE 206
BRANSON WEST MO
65737-9319
US

IV. Provider business mailing address

18593 BUSINESS 13 STE 206
BRANSON WEST MO
65737-9319
US

V. Phone/Fax

Practice location:
  • Phone: 417-527-5787
  • Fax: 417-785-2452
Mailing address:
  • Phone: 417-527-5787
  • Fax: 417-785-2452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2805021608
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2005021608
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: