Provider Demographics
NPI:1124868674
Name:TURK, ALEXANDER MATTHEW (OD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:MATTHEW
Last Name:TURK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22312 EL PASEO STE D
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-5803
Mailing Address - Country:US
Mailing Address - Phone:949-997-3844
Mailing Address - Fax:
Practice Address - Street 1:22312 EL PASEO STE D
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-5803
Practice Address - Country:US
Practice Address - Phone:949-997-3844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-30
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35669152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist