Individual provider Active NPI

Jeffrey Charles Shelton, O.D.

  • Optometrist
  • Bedford, VA
National Provider Identifier
1912937855
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000777 Issued in VA
Practice address
801 Blue Ridge Ave
Bedford, VA 24523-2442
Phone
(540) 587-4000
Fax
(888) 321-8434
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000777 VA Primary

Addresses

Primary practice location

801 Blue Ridge Ave
Bedford, VA 24523-2442

Mailing address

801 Blue Ridge Ave
Bedford, VA 24523-2442
Phone (540) 587-4000

Other practice location 1

514 N Main St
Rural Retreat, VA 24368-3123
Phone (276) 686-7000

Other identifiers 4

IdentifierTypeStateIssuer
159000OtherVAANTHEM
11527372OtherVACAQH PROVIDER ID
152W00000XOtherVANPI
0618000777OtherVAVIRGINIA OD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130415000106 VA Practitioner - Optometry 6204072440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Vision Optometry PCGroup PAC ID 2365848165, 32 clinicians

Practice addresses (Care Compare)

9468 Hospital Rd NW
Nassawadox, VA 23413
Phone (646) 921-1738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adli Business Investment Holdings, LLC Optometrist CurrentSince Apr 13, 2025 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Eye Care Vision Optometry P.C. Optometrist CurrentSince Jun 23, 2023 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Optometric Associates Optometrist Past Accepting new patients
Optometric World Optometrist Past Accepting new patients

Locations

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

869 John Marshall Hwy
#C
Front Royal, VA 22630
Phone (540) 635-3223

9675 Liberia Ave
Ste 108
Manassas, VA 20110
Phone (703) 331-2122

9468 Hospital Ave
Nassawadox, VA 23413
Phone (757) 442-5600

4 Ridgewood Pkwy
Newport News, VA 23602
Phone (757) 703-4200

200 W Constance Rd
Suffolk, VA 23434
Phone (347) 829-6863

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

3051 Valley Ave
Ste 102
Winchester, VA 22601
Phone (540) 450-8504

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1912937855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BLUE RIDGE AVE",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232442",
            "telephone_number": "540-587-4000",
            "fax_number": "888-321-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BLUE RIDGE AVE",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232442",
            "telephone_number": "540-587-4000",
            "fax_number": "888-321-8434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 N Main St",
            "address_purpose": "LOCATION",
            "city": "Rural Retreat",
            "state": "VA",
            "postal_code": "243683123",
            "country_code": "US",
            "telephone_number": "276-686-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "JEFFREY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "159000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11527372",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "152W00000X",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA OD LICENSE",
            "identifier": "0618000777",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

Verify at the official NPI Registry.