Organization
GEORGE B. SHIELDS, O.D., P.C.
Active
Other names
Shields Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE B. SHIELDS O.D. (PRESIDENT)
(410) 757-8169
Entity
Organization
Contact information
Practice address
321 KINKAID RD, BUILDING 329, ANNAPOLIS, MD 21402-1002
(410) 757-8169
Mailing address
701 PEARSON POINT PL, ANNAPOLIS, MD 21401-4577
(410) 757-8169
(443) 458-0497
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1738
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124259718
NPI
MD
01
—
1407952179
INDIVIDUAL NPI
MD
01
—
1538390224
NPI
MD
01
—
173796
PTAN
DC
Enumeration date
07/20/2007
Last updated
04/26/2010
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