Individual provider Active NPI

Kimberly Dawn Turner, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1396972436
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7104TG Issued in TX
Practice address
5212 Broadway St
San Antonio, TX 78209-5712
Phone
(210) 829-8083
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7104TG TX Primary

Addresses

Primary practice location

5212 Broadway St
San Antonio, TX 78209-5712

Mailing address

20306 Knights Banner
San Antonio, TX 78258-3321
Phone (210) 317-4037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100215000587 TX Practitioner - Optometry 3870637820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Vision Associates, P.a.Group PAC ID 4385531359, 5 clinicians

Practice addresses (Care Compare)

5212 Broadway St
San Antonio, TX 78209-5712
Phone (210) 829-8083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7104TXMDChiropractor
7104TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Vision Associates, P.a. Optometrist CurrentSince Dec 14, 2009 Accepting new patients

Locations

5212 Broadway
San Antonio, TX 78209
Phone (210) 822-7239

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1396972436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20306 KNIGHTS BANNER",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583321",
            "telephone_number": "210-317-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 BROADWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095712",
            "telephone_number": "210-829-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7104TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.