Individual
DR. GEORGE B. SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1905 TOWNE CENTRE BLVD, ANNAPOLIS, MD 21401-3594
(410) 268-8200
(410) 266-3996
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1738
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316147184
GROUP NPI
—
01
—
1316229701
GROUP NPI
—
01
—
236068
PTAN
—
01
—
547P
PTAN
—
Enumeration date
09/16/2006
Last updated
10/24/2024
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