Individual provider Active NPI

Candice Irene Turner, OD

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1770555351
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SA63TA622 Issued in AL
Practice address
2100 Data Park Drive
Birmingham, AL 35244-1254
Phone
(256) 772-8711
Fax
(256) 772-8738
NPI assigned
Feb 7, 2006
Last updated
Jan 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SA63TA622 AL Primary

Addresses

Primary practice location

2100 Data Park Drive
Birmingham, AL 35244-1254

Mailing address

2100 Data Park Drive
Hoover, AL 35244-1254
Phone (256) 772-8711

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
I20041029000502 AL Practitioner - Optometry 9032171376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1716 University Blvd
Birmingham, AL 35233-1816
Phone (205) 934-3899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham Current Accepting new patients
University of Alabama at Birmingham CurrentSince Jan 4, 2013 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Jan 4, 2013 Accepting new patients
Alabama Family Eye Care Optometrist PastSince Oct 20, 2021 Accepting new patients
Dr. Marbourg and Associates, P.C. Optometrist Past Accepting new patients

Locations

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

1716 University Blvd
Birmingham, AL 35294

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, 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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1770555351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 DATA PARK DRIVE",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441254",
            "telephone_number": "256-772-8711",
            "fax_number": "256-772-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DATA PARK DRIVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441254",
            "telephone_number": "256-772-8711",
            "fax_number": "256-772-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "CANDICE",
        "middle_name": "IRENE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SA63TA622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.