Provider Demographics
NPI:1770135618
Name:TURRISI, KIRSTEN WEITZEL (OD)
Entity type:Individual
Prefix:DR
First Name:KIRSTEN
Middle Name:WEITZEL
Last Name:TURRISI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:KIRSTEN
Other - Middle Name:KAE
Other - Last Name:WEITZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:116 REGENCY BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-4644
Mailing Address - Country:US
Mailing Address - Phone:252-754-2020
Mailing Address - Fax:252-493-0100
Practice Address - Street 1:116 REGENCY BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4644
Practice Address - Country:US
Practice Address - Phone:252-754-2020
Practice Address - Fax:252-493-0100
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT030.0133910152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty