Healthcare Provider Details

I. General information

NPI: 1184828493
Provider Name (Legal Business Name): CATHERINE LOVE TURLINGTON OD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 04/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3298 MAIN STREET
EXMORE VA
23350
US

IV. Provider business mailing address

PO BOX 561
EXMORE VA
23350-0561
US

V. Phone/Fax

Practice location:
  • Phone: 757-442-5079
  • Fax: 757-442-4685
Mailing address:
  • Phone: 757-442-5079
  • Fax: 757-442-4685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. CATHERINE LOVE TURLINGTON
Title or Position: OWNER
Credential:
Phone: 757-442-5079