DR. CORINNA MARIE SHELLEY


Address: 2104 W Grant Line Rd, Tracy, CA 95377-7309
Phone: 2092298611

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2104 W GRANT LINE RD
City TRACY
State CA
Zip Code 95377-7309

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 152WV0400X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Vision Therapy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154634236 Family Optometry of Tracy Inc Optometrist 2104 W Grant Line Rd, Tracy, CA 95377-7309 2010-07-19

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City TRACY
Zip Code 95377

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Dataset Information

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.

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