Individual provider Active NPI

Tiffany Cee Turner

  • Vision Therapy Optometrist
  • Humble, TX
National Provider Identifier
1194123943
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
8461TG Issued in TX
Practice address
5514 Atascocita Rd
#100
Humble, TX 77346-2968
Phone
(281) 548-2020
Fax
(281) 540-1287
NPI assigned
Dec 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 8461TG TX Primary

Addresses

Primary practice location

5514 Atascocita Rd
#100
Humble, TX 77346-2968

Mailing address

5514 Atascocita Rd Ste 100
Humble, TX 77346-2969
Phone (281) 548-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191125002873 CA Practitioner - Optometry 5496064099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
4S Optometric GroupGroup PAC ID 7315252046, 3 clinicians

Practice addresses (Care Compare)

10531 4S Commons Dr
Suite 168
San Diego, CA 92127-3517
Phone (858) 675-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8461TGTXMDVision Therapy Optometrist
34272CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
4S Optometric Group CurrentSince Sep 16, 2023 Accepting new patients

Locations

10531 4S Commons Dr
Ste 168
San Diego, CA 92127
Phone (858) 675-2020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14047/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1194123943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 ATASCOCITA RD STE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462969",
            "telephone_number": "281-548-2020",
            "fax_number": "281-540-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 ATASCOCITA RD",
            "address_2": "#100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462968",
            "telephone_number": "281-548-2020",
            "fax_number": "281-540-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "TIFFANY",
        "middle_name": "CEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "8461TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.