Individual provider Active NPI

Mark Layne Turk, O.D.

  • Optometrist
  • Boaz, AL
National Provider Identifier
1689645764
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-861-TA-420 Issued in AL
Practice address
2378 US Highway 431
Boaz, AL 35957-5905
Phone
(256) 593-4141
Fax
(256) 593-1899
NPI assigned
Jan 27, 2006
Last updated
Jun 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-861-TA-420 AL Primary

Addresses

Primary practice location

2378 US Highway 431
Boaz, AL 35957-5905

Mailing address

2378 US Highway 431
Boaz, AL 35957-5905
Phone (256) 593-4141

Other identifiers 1

IdentifierTypeStateIssuer
051079054MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20101202000071 AL Practitioner - Optometry 3678769601 Practice locations: Boaz, AL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2378 US Hwy 431
Boaz, AL 35957-5905
Phone (256) 593-4141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 2

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1689645764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575905",
            "telephone_number": "256-593-4141",
            "fax_number": "256-593-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2378 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575905",
            "telephone_number": "256-593-4141",
            "fax_number": "256-593-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURK",
        "first_name": "MARK",
        "middle_name": "LAYNE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-861-TA-420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051079054",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

Verify at the official NPI Registry.