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Organization
TURNER EYE INSTITUTE MEDICAL GROUP, INC.
Active
Organization
TURNER EYE INSTITUTE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN G TURNER M.D. (OWNER)
(510) 614-1515
Entity
Organization
Contact information
Practice address
420 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4908
(510) 614-1515
(510) 357-6330
Mailing address
420 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4908
(510) 614-1515
(510) 614-1523
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ18095Z
MEDICARE ID
CA
01
—
ZZZ18096Z
MEDICARE ID
CA
Enumeration date
01/10/2007
Last updated
08/18/2008
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