Provider Demographics
NPI:1255528964
Name:MARTIN E. TURKIS,OD,INC
Entity type:Organization
Organization Name:MARTIN E. TURKIS,OD,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURKIS
Authorized Official - Suffix:SR
Authorized Official - Credentials:OD
Authorized Official - Phone:707-445-4126
Mailing Address - Street 1:2773 HARRIS ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-4866
Mailing Address - Country:US
Mailing Address - Phone:707-445-4126
Mailing Address - Fax:707-445-1759
Practice Address - Street 1:2773 HARRIS ST
Practice Address - Street 2:SUITE H
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-4866
Practice Address - Country:US
Practice Address - Phone:707-445-4126
Practice Address - Fax:707-445-1759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACOR979152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0061300Medicaid
CASD0061300Medicaid
CAZZZ27515ZMedicare PIN
CA4981950001Medicare NSC
CASD0061302Medicare PIN