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Contact Information

CORINNA M SHELLEY, OD
2104 W GRANT LINE RD
TRACY, CA95377-7309
 Phone: 209-229-8611
 Fax: 209-229-8559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for CORINNA M SHELLEY · (Female)

NPI # 1922281930
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/12/2007
Last updated 05/18/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CA License # OPT 13351 TPA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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