Organization Active NPI

John McIntosh Turner

Doing business as Hattiesburg Vision Clinic

  • Optometrist
  • Hattiesburg, MS
National Provider Identifier
1841468865
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
441 Issued in MS
Legal business name
JOHN MCINTOSH TURNER
Doing business as
Hattiesburg Vision Clinic
Practice address
1100 S 28TH Ave
Hattiesburg, MS 39402-2609
Phone
(601) 268-3937
Fax
(601) 268-1375
NPI assigned
Feb 12, 2008
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Dr. John McIntosh Turner, O.D.NPI 1750361051
Title
Owner
Phone
(601) 268-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 441 MS Primary

Addresses

Primary practice location

1100 S 28TH Ave
Hattiesburg, MS 39402-2609

Mailing address

1100 S 28TH Ave
Hattiesburg, MS 39402-2609
Phone (601) 268-3937

Other identifiers 3

IdentifierTypeStateIssuer
560948150OtherMSMEDICARE: PART B PTAN
00087755MedicaidMS
540948150OtherMSMEDICARE: RAILROAD

Other names 1

  • Hattiesburg Vision Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1100 S 28th Ave
Hattiesburg, MS 39402
Phone (601) 268-3937

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": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1841468865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022609",
            "telephone_number": "601-268-3937",
            "fax_number": "601-268-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022609",
            "telephone_number": "601-268-3937",
            "fax_number": "601-268-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MCINTOSH TURNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MCINTOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-268-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE: PART B PTAN",
            "identifier": "560948150",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087755",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE: RAILROAD",
            "identifier": "540948150",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hattiesburg Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.