Provider Demographics
NPI:1689643918
Name:TURNER, CHARLES JASON (OD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:JASON
Last Name:TURNER
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 1:250 SEVEN FARMS DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-8159
Mailing Address - Country:US
Mailing Address - Phone:843-471-2733
Mailing Address - Fax:843-471-2735
Practice Address - Street 1:250 SEVEN FARMS DR
Practice Address - Street 2:SUITE A
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-8159
Practice Address - Country:US
Practice Address - Phone:843-471-2733
Practice Address - Fax:843-471-2735
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1363152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAA11198351OtherMEDICARE PROVIDER NUMBER
SCAA11198351Medicare ID - Type Unspecified