Individual provider Active NPI

Alysson Turkish, O.D.

  • Optometrist
  • Willingboro, NJ
National Provider Identifier
1124400056
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00661200 Issued in NJ
Practice address
225 Sunset Rd
Willingboro, NJ 08046-1109
Phone
(609) 877-2800
NPI assigned
Jun 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003052 PA
Optometrist 152W00000X 27OA00661200 NJ Primary

Addresses

Primary practice location

225 Sunset Rd
Willingboro, NJ 08046-1109

Mailing address

225 Sunset Rd
Willingboro, NJ 08046-1109
Phone (609) 877-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930001890 PA Practitioner - Optometry 2365759990 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00661200NJMDOptometrist
OEG003052PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Optometry of Pennsylvania PC Optometrist CurrentSince Nov 20, 2022 Accepting new patients
Mayfair Eye Associates, PC Optometrist CurrentSince Jun 5, 2024 Accepting new patients

Locations

1205 S 28th St
Harrisburg, PA 17111
Phone (717) 558-1000

6921 Frankford Ave
Ste D
Philadelphia, PA 19135
Phone (215) 332-5300

8410 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 708-1200

440 N River St
Wilkes Barre, PA 18702
Phone (267) 635-7089

Interoperability endpoints

  • Direct secure messaging: amass@bcep.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1124400056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SUNSET RD",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461109",
            "telephone_number": "609-877-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SUNSET RD",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461109",
            "telephone_number": "609-877-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURKISH",
        "first_name": "ALYSSON",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-27",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003052",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00661200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.