Organization Active NPI

Turner Eye Institute Medical Group, Inc.

  • Optometrist
  • San Leandro, CA
National Provider Identifier
1972653483
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TURNER EYE INSTITUTE MEDICAL GROUP, INC.
Practice address
420 Estudillo Ave
San Leandro, CA 94577-4908
Phone
(510) 614-1515
Fax
(510) 357-6330
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. Stephen G Turner, M.D.
Title
Owner
Phone
(510) 614-1515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Ophthalmologic Surgery Clinic/Center 261QS0132X

Addresses

Primary practice location

420 Estudillo Ave
San Leandro, CA 94577-4908

Mailing address

420 Estudillo Ave
San Leandro, CA 94577-4908
Phone (510) 614-1515

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ18095ZOtherCAMEDICARE ID
ZZZ18096ZOtherCAMEDICARE ID

National Provider Directory

National Provider Directory

Locations

420 Estudillo Ave
San Leandro, CA 94577
Phone (510) 614-1515

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1972653483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774908",
            "telephone_number": "510-614-1515",
            "fax_number": "510-614-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774908",
            "telephone_number": "510-614-1515",
            "fax_number": "510-357-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURNER EYE INSTITUTE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-614-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ18095Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ18096Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.