Individual
DR. SHELDA MAE SHAFFER
Active
Individual
DR. SHELDA MAE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
06465TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81011Q
BLUE CROSS BLUE SHIELD
TX
01
—
A003
HUMANA/TRICARE
—
Enumeration date
08/24/2006
Last updated
07/08/2007
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