Individual provider Active NPI

Briana Johnson Shelton, OD

  • Optometrist
  • Marion, NC
National Provider Identifier
1144223504
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1837 Issued in NC
Practice address
2285 Rutherford Rd
Marion, NC 28752-4895
Phone
(828) 652-1020
Fax
(828) 652-8302
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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 identifiers 1

IdentifierTypeStateIssuer
89093NGMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000538 NC Practitioner - Optometry 5294942850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1837NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Briana J. Shelton OD PA Optometrist CurrentSince Sep 16, 2003 Accepting new patients

Locations

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

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1144223504",
    "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": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "BRIANA",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093NG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

Verify at the official NPI Registry.