Individual provider Active NPI

Jeanine Elizabeth Turner, O.D.

  • Optometrist
  • Portsmouth, NH
National Provider Identifier
1043392574
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
715 Issued in NH
Practice address
2460 Lafayette Rd
Wal-Mart Vision Center
Portsmouth, NH 03801-5618
Phone
(603) 431-0515
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 715 NH Primary

Addresses

Primary practice location

2460 Lafayette Rd
Wal-Mart Vision Center
Portsmouth, NH 03801-5618

Mailing address

30 Charter St
Unit 20
Exeter, NH 03833-2343

Other identifiers 1

IdentifierTypeStateIssuer
2405744OtherNHCIGNA PROVIDER IDEN. #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 26, 2020 through May 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
715NHMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043392574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CHARTER ST",
            "address_2": "UNIT 20",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 LAFAYETTE RD",
            "address_2": "WAL-MART VISION CENTER",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015618",
            "telephone_number": "603-431-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "JEANINE",
        "middle_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER IDEN. #",
            "identifier": "2405744",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.