Provider Demographics
NPI:1912187220
Name:LOUIS-SHILLING, VICTORIA RENEE (OD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:RENEE
Last Name:LOUIS-SHILLING
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3017 NAVARRE AVE
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-3307
Mailing Address - Country:US
Mailing Address - Phone:419-693-4488
Mailing Address - Fax:
Practice Address - Street 1:3017 NAVARRE AVE
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3307
Practice Address - Country:US
Practice Address - Phone:419-693-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4473T1129152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist