Hayes, Shelly R

Hayes, Shelly R is an individual health care provider with primary practice located at 12 Chatham Heights Rd Suite 100, Fredericksburg VA 22405-2566. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hayes, Shelly R can be contacted via phone (540) 371-2777.

Contact Information

Primary practice address
12 Chatham Heights Rd Suite 100 Fredericksburg VA 22405-2566
Phone: (540) 371-2777
Fax: (540) 371-0922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 060100237 Virginia

Profile Details

NPI number 1275537771
LBN Legal business name Hayes, Shelly R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jan 27th, 2014 - about 12 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 1275537771 NPPES
Virginia MEDICAID 010005973

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