DR. MARC DOUGLAS SHIELDS (NPI# 1265435226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265435226 |
| Entity Type | Individual |
| Full Name | DR. MARC DOUGLAS SHIELDS |
| Credential | MD |
| Practice Address |
1500 Commerce Rd Staunton VA 24401-9032 |
| Mailing Address |
17 N Medical Park Dr Fishersville VA 22939-2344 |
| Practice Telephone | 5402137720 |
| Practice Fax Number | 5402139441 |
| Mailing Telephone | 5402137720 |
| Mailing Fax Number | 5402137728 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0101236216 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BLUE CROSS BLUE SHIELD | 137008 | 01 |
| VA | 010058228 | 05 | |
| VA | BLUE CROSS BLUE SHIELD | 137010 | 01 |
| VA | BLUE CROSS BLUE SHIELD | 137003 | 01 |
| VA | 010058244 | 05 | |
| VA | 010058252 | 05 |
| Street Address |
1500 COMMERCE RD |
| City | STAUNTON |
| State | VA |
| Zip Code | 24401-9032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053975763 | Susan Gresham | Optometrist | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2019-04-28 |
| 1891945697 | Lauren P Rivellino | Optometrist | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2008-09-29 |
| 1760668545 | Augusta Eye Associates Plc | Durable Medical Equipment & Medical Supplies | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2008-01-11 |
| 1558562264 | Scott David Lawrence | Ophthalmology | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2007-05-30 |
| 1184834889 | Paul S Mcconnell | Ophthalmology | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2007-05-23 |
| 1891881207 | Martha K Proffitt | Technician/Technologist | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2006-10-04 |
| 1194720102 | Peter Bruce Richardson | Specialist | 1500 Commerce Rd, Staunton, VA 24401 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003319 | Carlo Mirabelli | Pharmacist | Wal-mart, 1028c Richmond Ave., Staunton, VA 24401 | 2020-11-03 |
| 1437649092 | Nathaniel Byron Ellis | Speech-Language Pathologist | 600 Greenville Ave, Staunton, VA 24401 | 2018-05-18 |
| 1942728985 | Staunton Treatment Center, LLC | Counselor | 15 Green Hills Drive, Staunton, VA 24401 | 2017-08-30 |
| 1144756313 | Annie L Metz | Counselor | 85 Sangers Lane, Staunton, VA 24401 | 2017-05-10 |
| 1598217804 | Bh Brightview Baldwin Park Opco, LLC | Alzheimer Center (Dementia Center) | 21 Woodlee Road, Staunton, VA 24401 | 2016-11-03 |
| 1255887022 | Courtney White | Pharmacist | 850 Statler Blvd, Statler Square, Staunton, VA 24401 | 2016-08-31 |
| 1881042596 | John H. Lee | Occupational Therapy Assistant | 1900 Hillsmere, Staunton, VA 24401 | 2016-06-03 |
| 1538531496 | Family Preservation Services, Inc | Community/Behavioral Health | 189 Hornet Road, Staunton, VA 24401 | 2015-10-30 |
| 1053714741 | Kimberly Olsen | Speech-Language Pathologist | 1 Hillsmere Lane, Staunton, VA 24401 | 2014-10-08 |
| 1790197754 | Brittany Swann Wilmoth | Physical Therapist | 1600 N. Coalter Street, Suite 302, Staunton, VA 24401 | 2014-05-27 |
| Find all providers in zip 24401 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457311375 | John A Stathos Jr. | Ophthalmology | 2010 N Augusta St, Staunton Eye Clinic Plc, Staunton, VA 24401-2435 | 2006-03-24 |
| 1558562264 | Scott David Lawrence | Ophthalmology | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2007-05-30 |
| 1184834889 | Paul S Mcconnell | Ophthalmology | 1500 Commerce Rd, Staunton, VA 24401-9032 | 2007-05-23 |
| 1578520219 | Staunton Eye Clinic Plc | Ophthalmology | 2010 N Augusta St, Staunton, VA 24401-2435 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232854 | Albemarle Eye Center, Pllc | Ophthalmology | 560 Kempsville Rd Ste 100, Chesapeake, VA 23320-3603 | 2020-07-08 |
| 1679190334 | Virginia Vision & Surgery, Pllc | Ophthalmology | 4917 Richmond Tappahannock Hwy Ste 1a, Aylett, VA 23009-3416 | 2020-06-29 |
| 1841833480 | Paragon Retina Pllc | Ophthalmology | 8320 Old Courthouse Rd Ste 302, Vienna, VA 22182-3831 | 2019-10-28 |
| 1760036206 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 6845 Elm Street Ste 250, Mclean, VA 22101 | 2019-08-01 |
| 1821650615 | Rebecca Leigh Zaydel | Ophthalmology | 2051 Sun Harbour Ave Ste 110, Suffolk, VA 23435-3843 | 2019-07-02 |
| 1518427368 | Capital Eye Care LLC | Ophthalmology | 3289 Woodburn Rd Ste 270, Annandale, VA 22003-7351 | 2019-03-20 |
| 1194224246 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 1635 N George Mason Dr Ste 100, Arlington, VA 22205-3604 | 2018-02-05 |
| 1548770035 | Cataract Vision Institute Virginia LLC | Ophthalmology | 8614 Westwood Center Dr Ste 650, Vienna, VA 22182-2257 | 2017-10-10 |
| 1184077976 | Loudoun Medical Group PC | Ophthalmology | 1901 N Beauregard St, Suite 100, Alexandria, VA 22311-1738 | 2016-07-18 |
| 1043674013 | Robert Lawrence Kost | Ophthalmology | 850 Enterprise Pkwy Ste 1200, Hampton, VA 23666-6251 | 2016-04-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.