| Dr R C Shackelford Optometrist | |
|
2350 Mount Pleasant Rd, Hernando, MS 38632-1909 | |
| (662) 429-4448 | |
| (662) 429-5975 |
| Full Name | Dr R C Shackelford Optometrist |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2350 Mount Pleasant Rd, Hernando, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306008719 | NPI | - | NPPES |
| 00087049 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Raymond C Shackelford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558499640 PECOS PAC ID: 8325034481 Enrollment ID: I20040423000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr R C Shackelford Optometrist 8815 Millbranch Rd, Southaven, MS 38671-2312 Ph: (662) 393-4161 | Dr R C Shackelford Optometrist 2350 Mount Pleasant Rd, Hernando, MS 38632-1909 Ph: (662) 429-4448 |
Holly Springs Eyecare Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 124 W Commerce St, Hernando, MS 38632 Phone: 662-647-1818 Fax: 662-562-0600 | |
Henderson Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2600 Mcingvale Rd, Hernando, MS 38632 Phone: 662-429-7099 Fax: 662-469-4091 | |
Dr. John D Carlson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2170 Highway 51 S Ste 6, Hernando, MS 38632 Phone: 662-449-1384 Fax: 662-449-1385 | |
Elite Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 2631 Mcingvale Rd Ste 104, Hernando, MS 38632 Phone: 662-934-2408 | |
Raymond Calvin Shackelford, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2350 Mt Pleasant Rd, Hernando, MS 38632 Phone: 662-429-4448 Fax: 662-429-5975 | |
Dr. Michael D Honeycutt, OD Optometrist Medicare: Medicare Enrolled Practice Location: 165 W South St, Hernando, MS 38632 Phone: 662-429-4328 Fax: 662-429-4328 |