Provider Demographics
NPI:1750307476
Name:TURCO, MARC JOSEPH (OD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:JOSEPH
Last Name:TURCO
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 1:131 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-4014
Mailing Address - Country:US
Mailing Address - Phone:781-231-2371
Mailing Address - Fax:
Practice Address - Street 1:1325 BROADWAY
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906-4178
Practice Address - Country:US
Practice Address - Phone:781-231-4593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3128152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0392146Medicaid
MAW15962OtherBLUE CROSS & BLUE SHIELD
MAU47758Medicare UPIN
MAW15962OtherBLUE CROSS & BLUE SHIELD