Shelton, Andrea

Shelton, Andrea is an individual health care provider with primary practice located at 6828 Bardstown Rd , Louisville KY 40291-3050. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Shelton, Andrea can be contacted via phone (502) 231-2020.

Contact Information

Primary practice address
6828 Bardstown Rd Louisville KY 40291-3050
Phone: (502) 231-2020
Fax: (502) 736-4490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1579DT Kentucky
Eye and Vision Services Providers / Optometrist 152W00000X 18003225 Indiana

Profile Details

NPI number 1932106036
LBN Legal business name Shelton, Andrea
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jun 14th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932106036 NPPES
Kentucky MEDICAID 77001055

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