Individual provider Active NPI

Charles Jason Turner, O.D.

  • Optometrist
  • Daniel Island, SC
National Provider Identifier
1689643918
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1363 Issued in SC
Practice address
250 Seven Farms Dr
Suite a
Daniel Island, SC 29492-8159
Phone
(843) 471-2733
Fax
(843) 471-2735
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1363 SC Primary

Addresses

Primary practice location

250 Seven Farms Dr
Suite a
Daniel Island, SC 29492-8159

Mailing address

250 Seven Farms Dr
Suite a
Daniel Island, SC 29492-8159
Phone (843) 471-2733

Other identifiers 1

IdentifierTypeStateIssuer
AA11198351OtherSCMEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20051014000020 SC Practitioner - Optometry 7719902113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Eye CareGroup PAC ID 4284659780, 3 clinicians

Practice addresses (Care Compare)

297 Seven Farms Dr
Suite 101
Daniel Island, SC 29492-7553
Phone (843) 471-2733

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1363SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Island Eye Care Optometrist CurrentSince Jun 1, 2005 Accepting new patients
F Mason Smith Optometrist Past Accepting new patients
LTC Eyecare Inc Optometrist PastSince Jul 19, 2010 Accepting new patients
Eye Care Specialties Group - Daniel Island Optometrist Past Accepting new patients

Locations

250 Seven Farms Dr
Ste A
Daniel Island, SC 29492
Phone (843) 471-2733

297 Seven Farms Dr
Ste 101
Daniel Island, SC 29492
Phone (843) 471-2733

Organizations & group practices 5

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1689643918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SEVEN FARMS DR",
            "address_2": "SUITE A",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928159",
            "telephone_number": "843-471-2733",
            "fax_number": "843-471-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SEVEN FARMS DR",
            "address_2": "SUITE A",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928159",
            "telephone_number": "843-471-2733",
            "fax_number": "843-471-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "CHARLES",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "AA11198351",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniel Island, SC

Sources for this page

Verify at the official NPI Registry.