Provider Demographics
NPI:1386732840
Name:TURNER, CINDY LEA (OD)
Entity type:Individual
Prefix:DR
First Name:CINDY
Middle Name:LEA
Last Name:TURNER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CINDY
Other - Middle Name:LEA
Other - Last Name:SMITH-TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:4248 GALLIA ST
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45662-5513
Mailing Address - Country:US
Mailing Address - Phone:740-456-4024
Mailing Address - Fax:740-456-6696
Practice Address - Street 1:4248 GALLIA ST
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:OH
Practice Address - Zip Code:45662-5513
Practice Address - Country:US
Practice Address - Phone:740-456-4024
Practice Address - Fax:740-456-6696
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5072/T1949152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH11868199OtherCAQH
OH2210860Medicaid
OHU79408Medicare UPIN
OH11868199OtherCAQH