Individual
BRENT EDWARD SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1400 COMMON DR, EL PASO, TX 79936-5922
(915) 595-4375
(915) 595-4460
Mailing address
1400 COMMON DR, EL PASO, TX 79936-5922
(915) 595-4375
(915) 595-4460
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9924
TX
152W00000X
Optometrist
OP2549
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200151153
UNITED HEALTH CARE
NM
01
—
91360
PRESBYTERIAN HEALTH INS
NM
01
—
NM00PB21
BCBS OF NM
NM
Enumeration date
08/02/2006
Last updated
02/11/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us