Individual
DR. ANGELA SHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2348 COLONY CROSSING PLACE, MIDLOTHIAN, VA 23112-4280
(804) 639-2204
Mailing address
2348 COLONY CROSSING PLACE, MIDLOTHIAN, VA 23112-4292
(804) 639-2204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000671
VA
152W00000X
Optometrist
MS0867486
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881635134
—
VA
05
—
9233831
—
VA
Enumeration date
06/09/2006
Last updated
03/11/2020
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