Shields Vision

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1738 Issued in MD

Legal business name

SHIELDS VISION

Practice address

321 Kinkaid Rd
Building 329
Annapolis, MD 21402-1002

Phone

(410) 757-8169

NPI assigned

Sep 13, 2011

Organization subpart

No

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

Authorized official

Name

Colleen Shields

Title

Vice President

Phone

(410) 279-7627

Specialties & licenses 1

Addresses

Other names 1

• ANCHOR EYECARE Doing business as

Locations

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1316229701",
    "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": "410-279-7627",
            "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": "SHIELDS VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-279-7627"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANCHOR EYECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perry S Shelton, MD
• Susan N. Shelton, DIETITIAN
• Tammera L Shelton, MS
• Nyzaia Nija Sheppard
• Marlene Jane Shevenell, D.D.S.
• George B. Shields, O.D.
• Kelsey Alexandra Shifflett, LCSW-C
• Shannon Shifflett, LCSW-C
• Carly Shilling, MS, OTR/L
• Shiloh Center LLC

• Optometrist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.