Provider Demographics
NPI:1033196886
Name:TURNEY, ROBERT W (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:TURNEY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 927
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38557-0927
Mailing Address - Country:US
Mailing Address - Phone:931-484-4861
Mailing Address - Fax:931-484-1484
Practice Address - Street 1:645 S MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-5069
Practice Address - Country:US
Practice Address - Phone:931-484-4861
Practice Address - Fax:931-484-1484
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODT819152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0193001Medicaid
TN0193001Medicaid
TN3594820Medicare ID - Type Unspecified