Provider Demographics
NPI:1821380916
Name:MARK L TURK
Entity Type:Organization
Organization Name:MARK L TURK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:LAYNE
Authorized Official - Last Name:TURK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:256-593-4141
Mailing Address - Street 1:2378 US HIGHWAY 431
Mailing Address - Street 2:
Mailing Address - City:BOAZ
Mailing Address - State:AL
Mailing Address - Zip Code:35957-5905
Mailing Address - Country:US
Mailing Address - Phone:256-593-4141
Mailing Address - Fax:256-593-1899
Practice Address - Street 1:2378 US HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:BOAZ
Practice Address - State:AL
Practice Address - Zip Code:35957-5905
Practice Address - Country:US
Practice Address - Phone:256-593-4141
Practice Address - Fax:256-593-1899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-06
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty