DR. ROY W SHELTON MD
NPI 1417969981
Technician/Technologist - Ophthalmic in Bolivar, MO

Q: What is Roy Shelton's NPI number?

The NPI number for Roy Shelton is 1417969981. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Q: What is Roy Shelton's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Ophthalmic, with taxonomy code 156FX1100X.

Q: When was this NPI record last updated?

The NPPES record for Roy Shelton was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 13, 2006

1630 KILLINGSWORTH AVE, SUITE 2-A, BOLIVAR, MO 65613(417) 777-2222(417) 777-2224 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Roy W Shelton Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROY W SHELTON MD (NPI 1417969981) is an individual ophthalmic provider in Bolivar, Missouri, licensed in Missouri (MDR3920) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1417969981

Entity TypeIndividualMale

Primary Taxonomy156FX1100X

Provider Legal NameDR. ROY W SHELTONCredential: MD

Location Address1630 KILLINGSWORTH AVE, SUITE 2-ABolivar, MO 65613-2282

Mailing Address1630 Killingsworth Ave, Suite 2-aBolivar, MO 65613-2282 · (417) 777-2222 · Fax (417) 777-2224

Phone(417) 777-2222

Fax(417) 777-2224

Sole ProprietorNo

Enumeration DateAugust 13, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1417969981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OphthalmicEye and Vision Services Providers

Taxonomy Code156FX1100X

License✔ Licensed in MO · MDR3920

Definition

An ophthalmic technician/technologist assists ophthalmologists by performing ophthalmic clinical functions, including administering eye exams, administering eye medications, and instructing the patient in care and use of corrective lenses.

1630 KILLINGSWORTH AVE, Bolivar, MO 65613

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Other Identifiers 1

Medicare UPINA12124MO

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOLIVAR EYE SPECIALTY CENTER

Clinic/Center (Medical Specialty)

1630 KILLINGSWORTH AVE, SUITE 2B
BOLIVAR, MO 65613

Polk County (417) 777-2222

CMH FOOT AND ANKLE CLINIC

Podiatrist

1630 KILLINGSWORTH AVE, SUITE 2A
BOLIVAR, MO 65613

Polk County (417) 326-6200

CITIZENS MEMORIAL HEALTHCARE CLINICS

Durable Medical Equipment & Medical Supplies

1630 KILLINGSWORTH AVE
BOLIVAR, MO 65613

Polk County (417) 326-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roy Shelton's NPI number?

The NPI number for Roy Shelton is 1417969981. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Roy Shelton located?

Roy Shelton practices at 1630 Killingsworth Ave Suite 2-A, Bolivar, MO 65613. The listed phone number is (417) 777-2222.

What is Roy Shelton's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Ophthalmic, with taxonomy code 156FX1100X.

When was this NPI record last updated?

The NPPES record for Roy Shelton was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.