Terry Don Shelley (NPI# 1891806022, PAC ID# 4981877529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1891806022 |
| PAC ID by PECOS | 4981877529 |
| Professional Enrollment ID | I20111027000302 |
| Full Name | Terry Don Shelley |
| Organization Legal Name | KREGG KOONS OD INC |
| Address |
5535 S Scatterfield Rd Anderson IN 46013-3140 |
| Phone Number | 7656427822 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 1966 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5698724706 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5535 S Scatterfield Rd, Anderson, IN 46013-3140 | 7656427822 | KREGG KOONS OD INC |
| Organization Legal Name | KREGG KOONS OD INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Davis | Optometry | Kregg Koons Od Inc | 3300 W Fox Ridge Ln, Muncie, IN 47304-5201 |
| Kregg Christopher Koons | Optometry | Kregg Koons Od Inc | 3300 W Fox Ridge Ln, Muncie, IN 47304-5201 |
| Street Address |
5535 S SCATTERFIELD RD |
| City | ANDERSON |
| State | IN |
| Zip | 46013-3140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Christopher Till | Optometry | 5535 S Scatterfield Rd, Anderson, IN 46013-3140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry D Warthman | Optometry | 1923 W 53rd St, Anderson, IN 46013-1109 | |
| Brett T Krepps | Orthopedic Surgery | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 310, Anderson, IN 46013-1801 |
| Theresa R Neff | Nurse Practitioner | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 310, Anderson, IN 46013-1801 |
| Ashley Lynne Smith | Nurse Practitioner | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Yochana Gavva | Family Medicine | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Anne E Conner | Nurse Practitioner | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Richard Yomi Aina | Family Medicine | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Deena M Heller | Clinical Social Worker | Community Health Network Inc | 3125 S Scatterfield Rd, Suite 200, Anderson, IN 46013-1801 |
| Tabassum Hatimi | Family Medicine | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Margaret Malicay | Family Practice | Community Physicians of Indiana Inc | 3125 S Scatterfield Rd, Suite 300, Anderson, IN 46013-1801 |
| Find all physicians in zip 46013 | |||
| City | ANDERSON |
| Zip Code | 46013 |
| Specialty | OPTOMETRY |
| City + Specialty | ANDERSON + OPTOMETRY |
Please comment or provide details below to improve the information on Terry Don Shelley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.