Organization
STEVE M. SHELTON O.D.
Active
Other names
Base Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MICHAEL SHELTON O.D. (OWNER)
(910) 451-5249
Entity
Organization
Contact information
Practice address
1401 WEST RD., MCCS COMPLEX BLDG.1231, CAMP LEJEUNE, NC 28452
(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
01/04/2007
Last updated
07/02/2012
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