Individual
DR. JOHN MICHAEL SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2800 LEECHBURG RD, LOWER BURRELL, PA 15068-2527
(724) 335-7799
(724) 335-7794
Mailing address
2800 LEECHBURG RD, LOWER BURRELL, PA 15068-2527
(724) 335-7799
(724) 335-7794
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002370
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026219810001
—
PA
Enumeration date
07/14/2010
Last updated
06/02/2016
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