Individual
DR. CHARLES Y SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10219 KINGSTON PIKE, STE 101, KNOXVILLE, TN 37922-3222
(865) 539-3888
(865) 539-0653
Mailing address
10219 KINGSTON PIKE, STE 101, KNOXVILLE, TN 37922-3222
(865) 539-3888
(865) 539-0653
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1339
TN
152WC0802X
Corneal and Contact Management Optometrist
ODT1339
TN
152WL0500X
Low Vision Rehabilitation Optometrist
ODT1339
TN
152WP0200X
Pediatric Optometrist
ODT1339
TN
152WS0006X
Sports Vision Optometrist
ODT1339
TN
152WV0400X
Vision Therapy Optometrist
ODT1339
TN
152WX0102X
Occupational Vision Optometrist
ODT1339
TN
Other
Enumeration date
12/05/2006
Last updated
10/26/2010
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