Organization
SHELTON O.D. PC
Active
Other names
Shelton Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CHARLES SHELTON O.D. (PRESIDENT)
(540) 818-1827
Entity
Organization
Contact information
Practice address
4812 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2018
(540) 362-8855
Mailing address
501 GREEN ST, BLACKSBURG, VA 24060-4662
(540) 818-1827
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618000777
STATE OPTOMETRY TPA LICENSE JEFFREY SHELTON O.D.
VA
Enumeration date
10/23/2012
Last updated
03/07/2023
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