Organization Active NPI

George B. Shields, O.D., P.C.

Doing business as Shields Vision

  • Optometrist
  • Annapolis, MD
National Provider Identifier
1316147184
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1738 Issued in MD
Legal business name
GEORGE B. SHIELDS, O.D., P.C.
Doing business as
Shields Vision
Practice address
321 Kinkaid Rd
Building 329
Annapolis, MD 21402-1002
Phone
(410) 757-8169
NPI assigned
Jul 20, 2007
Last updated
Apr 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Dr. George B. Shields, O.D.
Title
President
Phone
(410) 757-8169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1738 MD Primary

Addresses

Primary practice location

321 Kinkaid Rd
Building 329
Annapolis, MD 21402-1002

Mailing address

701 Pearson Point PL
Annapolis, MD 21401-4577
Phone (410) 757-8169

Other identifiers 4

IdentifierTypeStateIssuer
173796OtherDCPTAN
1407952179OtherMDINDIVIDUAL NPI
1124259718OtherMDNPI
1538390224OtherMDNPI

Other names 1

  • Shields Vision Doing business as

National Provider Directory

National Provider Directory

Locations

234 Main St
Annapolis, MD 21401
Phone (410) 268-6246

8901 Wisconsin Ave
#59
Bethesda, MD 20889
Phone (301) 215-7668

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1316147184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PEARSON POINT PL",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014577",
            "telephone_number": "410-757-8169",
            "fax_number": "443-458-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 KINKAID RD",
            "address_2": "BUILDING 329",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214021002",
            "telephone_number": "410-757-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE B. SHIELDS, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-757-8169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "173796",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1407952179",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124259718",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538390224",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shields Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.