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Individual

DR. JEFFREY CHARLES SHELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
801 BLUE RIDGE AVE, BEDFORD, VA 24523-2442
(540) 587-4000
(888) 321-8434
Mailing address
801 BLUE RIDGE AVE, BEDFORD, VA 24523-2442
(540) 587-4000
(888) 321-8434

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000777
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0618000777
VIRGINIA OD LICENSE
VA
01
11527372
CAQH PROVIDER ID
VA
01
152W00000X
NPI
VA
01
159000
ANTHEM
VA
Enumeration date
07/04/2006
Last updated
04/12/2025
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