MEDICARE: SENIJA TURAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2019009618	MO
2	152W00000X	Optometrist	046011114	IL

General Provider Information

NPI Number	:	1306378450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SENIJA TURAN

Provider Business Mailing Address
First Line	:	9973 MANCHESTER RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-1915
Country	:	US
Telephone Number	:	314-961-3151
Fax Number	:

Provider Business Practice Location Address
First Line	:	9973 MANCHESTER RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-1915
Country	:	US
Telephone Number	:	314-961-3151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2017
Last Update Date	:	02/26/2026

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Directions to “ SENIJA TURAN ” Practice Location

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