Individual provider Active NPI

David Turner

  • Optometrist
  • Buffalo, MN
National Provider Identifier
1588077473
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3390 Issued in MN
Practice address
94 14TH St NE
Suite 3
Buffalo, MN 55313-1932
Phone
(763) 746-3391
Fax
(763) 682-5899
NPI assigned
Jun 9, 2014
Last updated
Jun 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3390 MN Primary

Addresses

Primary practice location

94 14TH St NE
Suite 3
Buffalo, MN 55313-1932

Mailing address

4455 Highway 169 N
Plymouth, MN 55442-2897
Phone (763) 559-7358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140827000656 MN Practitioner - Optometry 6305064718 Reassigns benefits to 1 organization
I20200204000624 WI Practitioner - Optometry 6305064718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

128 Grant Way
Suite 200
New Richmond, WI 54017-2616
Phone (715) 500-6470

2220 Badger Dr
Hudson, WI 54016-4202
Phone (715) 954-6063

6000 Monona Dr
Suite 101
Monona, WI 53716-3329
Phone (608) 222-9420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3390MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burnsville Eye Clinic LLC Optometrist CurrentSince Nov 10, 2019 Accepting new patients
Aeg Wisconsin Professional LTD Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Aug 11, 2022 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist CurrentSince Aug 11, 2022 Accepting new patients
Shoptikal LLC Optometrist Past Accepting new patients
Hometown Eye Care, Inc Optometrist Past Accepting new patients

Locations

1004 County Road 42 E
Burnsville, MN 55337
Phone (952) 894-1400

2806 Woodman Dr
Altoona, WI 54720
Phone (534) 444-2961

3022 Commercial Blvd
Chippewa Falls, WI 54729
Phone (715) 726-1671

943 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 832-7723

2215 Vine St
Ste E
Hudson, WI 54016
Phone (715) 381-1234

717 S Central Ave
Marshfield, WI 54449
Phone (715) 387-8608

101 Oak Ave
Ste 2
Menomonie, WI 54751
Phone (715) 953-3731

6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420

174 Crossroads Dr
Plover, WI 54467
Phone (715) 342-9634

2304 S Main St
Ste 9
Rice Lake, WI 54868
Phone (715) 236-7906

4551 8th St S
Ste 102
Wisconsin Rapids, WI 54494
Phone (715) 423-1340

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1588077473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 HIGHWAY 169 N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422897",
            "telephone_number": "763-559-7358",
            "fax_number": "763-559-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 14TH ST NE",
            "address_2": "SUITE 3",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131932",
            "telephone_number": "763-746-3391",
            "fax_number": "763-682-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

Verify at the official NPI Registry.