Provider Demographics
NPI:1184828493
Name:CATHERINE LOVE TURLINGTON OD PLLC
Entity Type:Organization
Organization Name:CATHERINE LOVE TURLINGTON OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:LOVE
Authorized Official - Last Name:TURLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-442-5079
Mailing Address - Street 1:PO BOX 561
Mailing Address - Street 2:
Mailing Address - City:EXMORE
Mailing Address - State:VA
Mailing Address - Zip Code:23350-0561
Mailing Address - Country:US
Mailing Address - Phone:757-442-5079
Mailing Address - Fax:757-442-4685
Practice Address - Street 1:3298 MAIN STREET
Practice Address - Street 2:
Practice Address - City:EXMORE
Practice Address - State:VA
Practice Address - Zip Code:23350
Practice Address - Country:US
Practice Address - Phone:757-442-5079
Practice Address - Fax:757-442-4685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5951770001Medicare NSC