Organization Active NPI

Briana J. Shelton OD PA

Doing business as Professional Vision Center

  • Optometrist
  • Marion, NC
National Provider Identifier
1114108891
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1837 Issued in NC
Legal business name
BRIANA J. SHELTON OD PA
Doing business as
Professional Vision Center
Practice address
2285 Rutherford Rd
Marion, NC 28752-4895
Phone
(828) 652-1020
Fax
(828) 652-8302
NPI assigned
Nov 21, 2007
Last updated
Mar 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Briana Johnson Shelton, O.D.NPI 1144223504
Title
President
Phone
(828) 652-1020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1837 NC Primary

Addresses

Primary practice location

2285 Rutherford Rd
Marion, NC 28752-4895

Mailing address

2285 Rutherford Rd
Marion, NC 28752-4895
Phone (828) 652-1020

Other practice location 1

364 US 70 W
Suite 4
Marion, NC 28752-6243
Phone (828) 652-1020

Other identifiers 5

IdentifierTypeStateIssuer
093NGOtherNCBCBS NC
1837OtherTRICARE
2335795OtherMEDICARE GROUP
P00105772OtherNCMEDICARE RR
89093NGMedicaidNC

Other names 1

  • Professional Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930071496 NC DME Supplier - Physician - Optometrist 4385851948 Practice locations: Marion, NC
O20111128000501 NC Part B Supplier - Clinic/Group Practice 4385851948 Receives reassigned benefits from 1 practitioner
Practice locations: Marion, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Briana J. Shelton, OD, PA2285 Rutherford Rd, Marion, NC 28752-4895(828) 652-1020 Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Sep 16, 2003

National Provider Directory

National Provider Directory

Locations

2285 Rutherford Rd
Marion, NC 28752
Phone (828) 652-1020

364 US 70 W
Ste 4
Marion, NC 28752
Phone (828) 652-1020

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1114108891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 RUTHERFORD RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524895",
            "telephone_number": "828-652-1020",
            "fax_number": "828-652-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 RUTHERFORD RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524895",
            "telephone_number": "828-652-1020",
            "fax_number": "828-652-8302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "364 US 70 W",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287526243",
            "country_code": "US",
            "telephone_number": "828-652-1020",
            "fax_number": "828-652-8302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIANA J. SHELTON OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-652-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "093NG",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1837",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "2335795",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00105772",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093NG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.