Shelly Lynn Lupian, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

002528 Issued in AZ

Practice address

2840 Hway 95
Bullhead City, AZ 86442-7792

Phone

(928) 758-1450

Fax

(928) 758-1683

NPI assigned

Oct 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1871373167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 KAREN WAY",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426177",
            "telephone_number": "909-362-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 HWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427792",
            "telephone_number": "928-758-1450",
            "fax_number": "928-758-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPIAN",
        "first_name": "SHELLY",
        "middle_name": "LYNN",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "002528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesa Renee Lock, APRN
• Andrew Longner, DC
• Martin Edward Longner, D.C.
• Savannah Ebony Love, PHLEBOTOMIST
• Samantha Lucero
• Michael T Lutz, COTA
• M.a.Nayer, M.D.,P.C.
• Gerald Mac Donald Jr.
• Javed Malik, M.D.
• Elliot Charles Maness, DO

• Optician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Optician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.