Provider Demographics
NPI:1700567252
Name:TURNER, AMARA LOVE (OD)
Entity Type:Individual
Prefix:DR
First Name:AMARA
Middle Name:LOVE
Last Name:TURNER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2306 LAUREL RD E UNIT 1208
Mailing Address - Street 2:
Mailing Address - City:NOKOMIS
Mailing Address - State:FL
Mailing Address - Zip Code:34275-3152
Mailing Address - Country:US
Mailing Address - Phone:817-863-3450
Mailing Address - Fax:
Practice Address - Street 1:1671 US BYPASS S UNIT 105
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-1034
Practice Address - Country:US
Practice Address - Phone:941-236-9165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6313152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist