Active NPI
Debora Elaine Turner
- Optician
- College Park, GA
National Provider Identifier
1578327151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 002576
- Practice address
- 6149 Old National Hwy
College Park, GA 30349-4479 - Phone
- (770) 994-0141
- Fax
- (770) 994-0128
- NPI assigned
- Feb 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 002576 | GA | Primary |
Addresses
Primary practice location
6149 Old National Hwy
College Park, GA 30349-4479
Mailing address
7012 W Fayetteville Rd
Riverdale, GA 30296-1908
Phone (404) 781-7175
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002576 | GA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1578327151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7012 W FAYETTEVILLE RD",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302961908",
"telephone_number": "404-781-7175",
"fax_number": "770-994-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6149 OLD NATIONAL HWY",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303494479",
"telephone_number": "770-994-0141",
"fax_number": "770-994-0128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "DEBORA",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-13",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "GA",
"license": "002576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.