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NPI Code Detail

MEDICARE: BRIANA J. SHELTON OD PA

MEDICARE: BRIANA J. SHELTON OD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist1837NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00105772OTHERNCMEDICARE RR
52335795OTHERMEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1093NGOTHERNCBCBS NC
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41837OTHERTRICARE

General Provider Information

NPI Number : 1114108891
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIANA J. SHELTON OD PA
Provider Business Mailing Address
First Line : 2285 RUTHERFORD RD
Second Line :
City : MARION
State : NC
Zip : 28752-4895
Country : US
Telephone Number : 828-652-1020
Fax Number : 828-652-8302
Provider Business Practice Location Address
First Line : 2285 RUTHERFORD RD
Second Line :
City : MARION
State : NC
Zip : 28752-4895
Country : US
Telephone Number : 828-652-1020
Fax Number : 828-652-8302
Authorized Official
Title or Position : PRESIDENT
Name : DR. BRIANA JOHNSON SHELTON
Credential : O.D.
Telephone Number : 828-652-1020
Provider Enumeration Date : 11/21/2007
Last Update Date : 03/27/2025

Similar Medicare Providers

1144223504 — DR. BRIANA JOHNSON SHELTON OD
Practice Location Address:
2285 RUTHERFORD RD
MARION, NC
28752-4895
Practice Phone: 828-652-1020
Practice Fax: 828-652-8302
1710829452 — LUCY WOODS MCENTIRE
Practice Location Address:
172 LUKIN ST
MARION, NC
28752-5245
Practice Phone: 828-652-6580
Practice Fax:
1033052774 — EMILY LEDFORD
Practice Location Address:
103 N LOGAN STREET
MARION, NC
28752
Practice Phone: 828-201-6901
Practice Fax:
1013912732 — PROACTIVE THERAPY OF NORTH CAROLINA INC
Practice Location Address:
20 W MEDICAL CT
MARION, NC
28752-4968
Practice Phone: 828-659-8049
Practice Fax: 828-659-8639
1699772657 — THE MCDOWELL HOSPITAL INC
Practice Location Address:
430 RANKIN DR
MARION, NC
28752-6568
Practice Phone: 828-659-5000
Practice Fax: 828-652-1626
1912905977 — DR. MARK ALAN HAYES MD
Practice Location Address:
31 E MEDICAL CT , SUITE 2
MARION, NC
28752-4969
Practice Phone: 828-652-0005
Practice Fax: 828-652-0011

Directions to “BRIANA J. SHELTON OD PA ” Practice Location

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