Provider Demographics
NPI:1649424037
Name:TURNER, ANTONIO MARTINNEZ SR (OD)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:MARTINNEZ
Last Name:TURNER
Suffix:SR
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5201 E US HIGHWAY 36
Mailing Address - Street 2:402
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-7837
Mailing Address - Country:US
Mailing Address - Phone:317-745-7000
Mailing Address - Fax:
Practice Address - Street 1:5201 E US HIGHWAY 36
Practice Address - Street 2:402
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-7837
Practice Address - Country:US
Practice Address - Phone:317-745-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003553A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist