Healthcare Provider Details

I. General information

NPI: 1689671083
Provider Name (Legal Business Name): WILLIAM LEE TURNER O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 10/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 S. VANBUREN RD BLDG #2
EDEN NC
27288-5321
US

IV. Provider business mailing address

703 S. VANBUREN RD BLDG #2
EDEN NC
27288-5321
US

V. Phone/Fax

Practice location:
  • Phone: 336-627-1125
  • Fax: 336-627-1228
Mailing address:
  • Phone: 336-627-1125
  • Fax: 336-627-1228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1014
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: