Provider Demographics
NPI:1356512750
Name:DR ROY C TURNER OPTOMETRIST PA
Entity type:Organization
Organization Name:DR ROY C TURNER OPTOMETRIST PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:E
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-627-1125
Mailing Address - Street 1:703 S VAN BUREN RD
Mailing Address - Street 2:BLDG #2
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-5321
Mailing Address - Country:US
Mailing Address - Phone:336-627-1125
Mailing Address - Fax:336-627-1228
Practice Address - Street 1:703 S VAN BUREN RD
Practice Address - Street 2:BLDG #2
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5321
Practice Address - Country:US
Practice Address - Phone:336-627-1125
Practice Address - Fax:336-627-1228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1014152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08909930Medicaid
NC09930OtherBCBS
NC8909930Medicaid
NC0360250001Medicare NSC
NC08909930Medicaid
NC246313Medicare PIN