SHIELDS AND SHIELDS PC NPI 1063501526

NPI Information

  • NPI: 1063501526
  • Provider Name: SHIELDS AND SHIELDS PC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • CLIA Number: 39D2177610
  • Address: 840 WALNUT STREET
    SUITE 1440
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 928-3105

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NPI Details

SHIELDS AND SHIELDS PC is an ophthalmology in Philadelphia, PA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SHIELDS AND SHIELDS PC NPI is 1063501526. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

840 WALNUT STREET
SUITE 1440
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 928-3105
Fax: (215) 928-1140

The provider's authorized official is Jerry A Shields .
The authorized official title is Director and has the following contact phone number (215) 928-3105.

The CLIA number assigned to this NPI record is 39D2177610 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 4/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207WX0110XOphthalmologyPediatric Ophthalmology and Strabismus SpecialistNo
2207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10017615000005MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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