Individual provider Active NPI

Alexandra Grace Turner, OD

  • Optometrist
  • Van Buren, AR
National Provider Identifier
1619602083
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2861 Issued in AR
Practice address
117 Northridge Dr Ste a
Van Buren, AR 72956-6983
Phone
(479) 262-2080
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2861 AR Primary

Addresses

Primary practice location

117 Northridge Dr Ste a
Van Buren, AR 72956-6983

Mailing address

6424 Georgia Ridge Rd
Alma, AR 72921-8273
Phone (479) 213-7045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20221005001289 AR Practitioner - Optometry 6204212889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Vision Center, Inc.Group PAC ID 8527266774, 2 clinicians

Practice addresses (Care Compare)

117 Northridge Dr
Suite a
Van Buren, AR 72956-6983
Phone (479) 262-2080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2861ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Vision Center, Inc. Optometrist CurrentSince Oct 1, 2022 Accepting new patients

Locations

117 Northridge Dr E
Ste A
Van Buren, AR 72956
Phone (479) 262-2080

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, 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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1619602083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 GEORGIA RIDGE RD",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729218273",
            "telephone_number": "479-213-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 NORTHRIDGE DR STE A",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566983",
            "telephone_number": "479-262-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "ALEXANDRA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

Verify at the official NPI Registry.