Organization Active NPI

Dr Roy C Turner Optometrist PA

  • Optometrist
  • Eden, NC
National Provider Identifier
1356512750
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1014 Issued in NC
Legal business name
DR ROY C TURNER OPTOMETRIST PA
Practice address
703 S Van Buren Rd
BLDG #2
Eden, NC 27288-5321
Phone
(336) 627-1125
Fax
(336) 627-1228
NPI assigned
Mar 13, 2008
Last updated
Aug 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Ms. Tonya E Jones
Title
Insurance Coordinator
Phone
(336) 627-1125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1014 NC Primary

Addresses

Primary practice location

703 S Van Buren Rd
BLDG #2
Eden, NC 27288-5321

Mailing address

703 S Van Buren Rd
BLDG #2
Eden, NC 27288-5321
Phone (336) 627-1125

Other identifiers 3

IdentifierTypeStateIssuer
08909930MedicaidNC
09930OtherNCBCBS
8909930MedicaidNC

National Provider Directory

National Provider Directory

Locations

703 S Van Buren Rd
#2
Eden, NC 27288
Phone (336) 627-1125

703 S Van Buren Rd
Bldg 2
Eden, NC 27288
Phone (336) 627-1125

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1356512750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 S VAN BUREN RD",
            "address_2": "BLDG #2",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885321",
            "telephone_number": "336-627-1125",
            "fax_number": "336-627-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S VAN BUREN RD",
            "address_2": "BLDG #2",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885321",
            "telephone_number": "336-627-1125",
            "fax_number": "336-627-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROY C TURNER OPTOMETRIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "336-627-1125",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08909930",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09930",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909930",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.