Provider Demographics
NPI:1497864276
Name:TURNER, WILLIAM B (LDO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:B
Last Name:TURNER
Suffix:
Gender:M
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:878 FORDING ISLAND ROAD
Mailing Address - Street 2:SUITE 14
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-8677
Mailing Address - Country:US
Mailing Address - Phone:843-836-3937
Mailing Address - Fax:843-836-3940
Practice Address - Street 1:149 RIVERWALK BLVD
Practice Address - Street 2:SUITE 7
Practice Address - City:RIDGELAND
Practice Address - State:SC
Practice Address - Zip Code:29936-8190
Practice Address - Country:US
Practice Address - Phone:843-379-2388
Practice Address - Fax:843-379-2389
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC808156FX1800X
SC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC5788210001Medicare NSC