Individual
STEVE MICHAEL SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1401 WEST RD., MCCS COMPLEX BLDG. 1231, CAMP LEJEUNE, NC 28542
(910) 451-5249
(910) 451-5381
Mailing address
1021 BEECH TREE RD, JACKSONVILLE, NC 28546-6001
(910) 451-5249
(910) 451-5381
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0999
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093KJ
BCBS STATE/FED. PROVIDER
NC
01
—
7453310
AETNA PROVIDER NUMBER
NC
Enumeration date
09/07/2006
Last updated
07/09/2007
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