NPIMap

Organization Active NPI

Steve M. Shelton O.D.

  • Optometrist
  • Camp Lejeune, NC
National Provider Identifier
1336296219
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0999 Issued in NC
Legal business name
STEVE M. SHELTON O.D.
Practice address
1401 West Rd.
MCCS Complex BLDG.1231
Camp Lejeune, NC 28452
Phone
(910) 451-5249
Fax
(910) 451-5381
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Steve Michael Shelton, O.D.NPI 1306940796
Title
Owner
Phone
(910) 451-5249

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0999 NC Primary

Addresses

Primary practice location

1401 West Rd.
MCCS Complex BLDG.1231
Camp Lejeune, NC 28452

Mailing address

1021 Beech Tree Rd
Jacksonville, NC 28546-6001
Phone (910) 451-5249

Other identifiers 2

IdentifierTypeStateIssuer
7453310OtherNCAETNA PROVIDER NUMBER
093KJOtherNCBCBS STATE&FED. PROVIDER

Other names 1

  • Base Vision Center Other name

National Provider Directory

National Provider Directory

Locations

1401 West Rd
Bldg 1231
Camp Lejeune, NC 28547
Phone (910) 451-5249

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1336296219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 BEECH TREE RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466001",
            "telephone_number": "910-451-5249",
            "fax_number": "910-451-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WEST RD.",
            "address_2": "MCCS COMPLEX BLDG.1231",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28452",
            "telephone_number": "910-451-5249",
            "fax_number": "910-451-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE M. SHELTON O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-451-5249",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7453310",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS STATE&FED. PROVIDER",
            "identifier": "093KJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Base Vision Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camp Lejeune, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.