Provider Demographics
NPI:1780885350
Name:TURNER, MATHEW E (OD)
Entity type:Individual
Prefix:DR
First Name:MATHEW
Middle Name:E
Last Name:TURNER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3051 KINZEL WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37924-2190
Mailing Address - Country:US
Mailing Address - Phone:865-637-7775
Mailing Address - Fax:865-524-6113
Practice Address - Street 1:3051 KINZEL WAY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37924-2190
Practice Address - Country:US
Practice Address - Phone:865-637-7775
Practice Address - Fax:865-524-6113
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2310152WC0802X, 152WP0200X, 152WV0400X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4079336OtherBLUE CROSS BLUE SHIELD
TN702015065OtherCARITEN
TN2196684OtherCIGNA
TN4079336OtherBLUE CARE MEDICAID
TN3645077Medicaid
TN880251302OtherTRICARE
TN880251302OtherTRICARE
TNU89564Medicare UPIN