Healthcare Provider Details

I. General information

NPI: 1386732840
Provider Name (Legal Business Name): CINDY LEA TURNER O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CINDY LEA SMITH-TURNER O.D.

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 11/17/2020
Certification Date: 11/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4248 GALLIA ST
NEW BOSTON OH
45662-5513
US

IV. Provider business mailing address

4248 GALLIA ST
NEW BOSTON OH
45662-5513
US

V. Phone/Fax

Practice location:
  • Phone: 740-456-4024
  • Fax: 740-456-6696
Mailing address:
  • Phone: 740-456-4024
  • Fax: 740-456-6696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5072/T1949
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: