DR. CORINNA MARIE SHELLEY (NPI# 1922281930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922281930 |
Entity Type | Individual |
Full Name | DR. CORINNA MARIE SHELLEY |
Credential | O.D. |
Practice Address |
2104 W Grant Line Rd Tracy CA 95377-7309 |
Practice Telephone | 2092298611 |
Practice Fax Number | 2092298559 |
Mailing Telephone | 2092298611 |
Mailing Fax Number | 2092298559 |
Enumeration Date | 2007-12-12 |
Last Update Date | 2010-05-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
OPT 13351 TPA | CA | Eye and Vision Services Providers |
Street Address |
2104 W GRANT LINE RD |
City | TRACY |
State | CA |
Zip Code | 95377-7309 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689214900 | Jessica Siu | Optometrist | 2104 W Grant Line Rd, Tracy, CA 95377-7309 | 2020-01-14 |
1154634236 | Family Optometry of Tracy Inc | Optometrist | 2104 W Grant Line Rd, Tracy, CA 95377-7309 | 2010-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639787070 | Mehak Bhardwaj | Behavior Technician | 2434 Saffron Ct, Tracy, CA 95377 | 2020-07-22 |
1427510809 | Xiaorui Yang | Behavior Technician | 1951 W Middlefield Dr Apt 224, Tracy, CA 95377 | 2019-04-03 |
1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
1053735043 | Luke Rond | Emergency Medicine | 763 Quail Run Cir, Tracy, CA 95377 | 2014-02-11 |
1578862553 | Nhan Duong | Pharmacist | 3250 W. Grant Line Road, Tracy, CA 95377 | 2011-03-16 |
1952570582 | Tech Diamond Health Care | Home Health | 2098 Babcock Lane, Tracy, CA 95377 | 2008-02-28 |
1316058795 | Wandisan and Rosete Medical Group Professional Corporation | Internal Medicine | 4600 S Tracy Blvd #107, Tracy, CA 95377 | 2006-08-31 |
1801838610 | Rollie Duyao Rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-13 |
1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
1770586448 | Mitchell Edward Blum | Otolaryngology | 2160 W. Grantline Rd, Suite 250, Tracy, CA 95377 | 2005-05-24 |
Find all providers in zip 95377 |
Taxonomy Code | 152WV0400X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Vision Therapy |
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154634236 | Family Optometry of Tracy Inc | Optometrist | 2104 W Grant Line Rd, Tracy, CA 95377-7309 | 2010-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255986014 | Johann Josue Schlager | Optometrist | 901 Dover Dr Ste 100, Newport Beach, CA 92660-5514 | 2019-08-07 |
1184288862 | Elizabeth Yeh | Optometrist | 970 Monument St Ste 102, Pacific Palisades, CA 90272-3860 | 2019-04-27 |
1558848986 | Judy Cao, Od, Inc | Optometrist | 360 E Las Tunas Dr Unit 203, San Gabriel, CA 91776-1502 | 2018-07-27 |
1811362718 | Dr. Robert S. Christensen Inc. | Optometrist | 250 Camino Alto, Suite 110, Mill Valley, CA 94941-1400 | 2015-12-03 |
1992112684 | Belinda Kuo | Optometrist | 2141 W Orangewood Ave, Suite B, Orange, CA 92868-1955 | 2014-07-15 |
1720410137 | Katie L Elton | Optometrist | 24640 Jefferson Ave. Suite 100, Murrieta, CA 92562 | 2013-08-08 |
1619147535 | Timothy Andrew Wilkins | Optometrist | 2331 Kern St, Fresno, CA 93721-2700 | 2008-03-06 |
1114041746 | Allison Hongdiep Cao-le | Optometrist | 454 Alvarado St, Monterey, CA 93940-2717 | 2007-03-19 |
1336276757 | Cornelius Mietus | Optometrist | 1125 Coast Village Rd, Santa Barbara, CA 93108-2716 | 2007-02-27 |
1245365865 | Alan Marc Winkelstein | Optometrist | 30520 Rancho California Rd, Suite A106, Temecula, CA 92591-3212 | 2007-02-22 |
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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.