Individual
JONATHAN SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
369 W CHURCH ST, LEXINGTON, TN 38351-2096
(731) 968-5225
(731) 967-3291
Mailing address
369 W CHURCH ST, LEXINGTON, TN 38351-2096
(731) 968-5225
(731) 967-3291
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2904
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515311
—
TN
01
—
4235338
BCBS
TN
Enumeration date
01/12/2009
Last updated
05/05/2015
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