Shelton O.D. PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SHELTON O.D. PC

Practice address

4812 Valley View Blvd NW
Roanoke, VA 24012-2018

Phone

(540) 362-8855

NPI assigned

Oct 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Charles Shelton, O.D.

Title

President

Phone

(540) 818-1827

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shelton Eye Care Doing business as

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1922351337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GREEN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240604662",
            "telephone_number": "540-818-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 VALLEY VIEW BLVD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122018",
            "telephone_number": "540-362-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON O.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-818-1827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OPTOMETRY TPA LICENSE JEFFREY SHELTON O.D.",
            "identifier": "0618000777",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelton Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra J Sheldon, LPC
• Mary Shell
• Victoria Shelly, NP
• Alexis Brianne Shelor, CSAC-S
• Katherine Martin Shelor, NP
• Diane W Shelton, SLP
• Heath Walker Shelton, DO, MS
• John Shelton, M.D.
• Leanne Shelton
• Lili Shen

• Optometrist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.