Provider Demographics
NPI:1508621996
Name:TURNER, PEYTON (OD)
Entity Type:Individual
Prefix:
First Name:PEYTON
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 BRIAR RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37015-3028
Mailing Address - Country:US
Mailing Address - Phone:918-576-3353
Mailing Address - Fax:
Practice Address - Street 1:2024 WILMA RUDOLPH BLVD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-6879
Practice Address - Country:US
Practice Address - Phone:931-551-3031
Practice Address - Fax:931-552-7488
Is Sole Proprietor?:No
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3860152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist