Shell Optical of Virginia, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1101000541 Issued in VA

Legal business name

SHELL OPTICAL OF VIRGINIA, INC.

Practice address

2463 Pruden Blvd
Suffolk, VA 23434-4235

Phone

(757) 934-2422

Fax

(757) 934-2640

NPI assigned

Dec 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gerald W Shell, ABOC

Title

Optician

Phone

(757) 934-2422

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861477051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2463 PRUDEN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344235",
            "telephone_number": "757-934-2422",
            "fax_number": "757-934-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2463 PRUDEN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344235",
            "telephone_number": "757-934-2422",
            "fax_number": "757-934-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELL OPTICAL OF VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "757-934-2422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "1101000541",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "1101001778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F Shaughnessy, MD
• Deloris Lajoy Shaw, LPC
• Shearin Chiropractic LLC
• Elizabeth Tolly Shearin, DC
• Nathan Sheets, M.D.
• Chelse Brooke Sheppard, PTA
• Melissa Shepski, BCABA
• Christine Brown Shevock, PA-C
• Arielle Shipp, LPC, PMH-C
• Kamal Shrestha, FNP-C

• Eyewear Supplier in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Eyewear Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.