Organization Active NPI

Riley J. Turcott, O.D., PLC

  • Optometrist
  • Petoskey, MI
National Provider Identifier
1699280057
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002431 Issued in MI
Legal business name
RILEY J. TURCOTT, O.D., PLC
Practice address
231 State St
Petoskey, MI 49770-2785
Phone
(231) 347-6151
Fax
(231) 347-0541
NPI assigned
Dec 7, 2017
Last updated
Dec 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Riley J. Turcott, O.D.NPI 1861464216
Title
Doctor
Phone
(231) 347-6151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002431 MI Primary

Addresses

Primary practice location

231 State St
Petoskey, MI 49770-2785

Mailing address

231 State St
Petoskey, MI 49770-2785
Phone (231) 347-6151

Other identifiers 1

IdentifierTypeStateIssuer
900B46506OtherMIBLUE CROSS BLUE SHIELD OF MI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171215000584 MI Part B Supplier - Clinic/Group Practice 7416215678 Receives reassigned benefits from 1 practitioner
Practice locations: Petoskey, MI; Sault Sainte Marie, MI

National Provider Directory

National Provider Directory

Locations

231 State St
Petoskey, MI 49770
Phone (231) 347-6151

231 State St
#J
Petoskey, MI 49770
Phone (231) 347-6151

1908 Ashmun St
Sault Sainte Marie, MI 49783
Phone (231) 347-6151

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1699280057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 STATE ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702785",
            "telephone_number": "231-347-6151",
            "fax_number": "231-347-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 STATE ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702785",
            "telephone_number": "231-347-6151",
            "fax_number": "231-347-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILEY J. TURCOTT, O.D., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "TURCOTT",
        "authorized_official_first_name": "RILEY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "231-347-6151",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MI",
            "identifier": "900B46506",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.