Organization
JOHN MCINTOSH TURNER
Active
Other names
Hattiesburg Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MCINTOSH TURNER O.D. (OWNER)
(601) 268-3937
Entity
Organization
Contact information
Practice address
1100 S 28TH AVE, HATTIESBURG, MS 39402-2609
(601) 268-3937
(601) 268-1375
Mailing address
1100 S 28TH AVE, HATTIESBURG, MS 39402-2609
(601) 268-3937
(601) 268-1375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
441
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087755
—
MS
01
—
540948150
MEDICARE: RAILROAD
MS
01
—
560948150
MEDICARE: PART B PTAN
MS
Enumeration date
02/12/2008
Last updated
02/15/2012
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