Active NPI
David Lawrence Turetsky, O.D.
- Optometrist
- Glendale, CA
National Provider Identifier
1396789426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 7373 TPA
- Practice address
- 330 N Brand Blvd
Suite 110
Glendale, CA 91203-2308 - Phone
- (818) 240-0890
- Fax
- (818) 246-2540
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 7373 TPA | CA | Primary |
Addresses
Primary practice location
330 N Brand Blvd
Suite 110
Glendale, CA 91203-2308
Mailing address
4439 Merlin Way
Soquel, CA 95073-2340
Phone (408) 230-0290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396789426 | Other | CA | MEDICAL PROVIDER |
| 1306035118 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7373 | CA | MD | Clinical Social Worker |
| OPT 7373 TPA | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Network Services Medical Group | Optometrist | Past | Accepting new patients |
| Craig Anthony Lenz | Past | Accepting new patients |
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.
-
- Optometrist
- Placentia, CA
- NPI 1457445215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1396789426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4439 MERLIN WAY",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732340",
"telephone_number": "408-230-0290",
"fax_number": "831-479-8718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N BRAND BLVD",
"address_2": "SUITE 110",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032308",
"telephone_number": "818-240-0890",
"fax_number": "818-246-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURETSKY",
"first_name": "DAVID",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 7373 TPA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROVIDER",
"identifier": "1396789426",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306035118",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.