Raymond Calvin Shackelford in Hernando - Optometrist
Raymond Calvin Shackelford - NPI 1558499640
Raymond Calvin Shackelford is a Optometrist in Hernando, Mississippi. Raymond Calvin Shackelford practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Raymond Calvin Shackelford is 1558499640. The last update date is 2007-07-08.
Raymond Calvin Shackelford's current location address is 2350 Mt Pleasant Rd, Hernando, Mississippi. You can contact this provider via phone number 6624294448 and fax number 6624295975. The mailing address for Raymond Calvin Shackelford is 2350 Mt Pleasant Rd, Hernando, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raymond Calvin Shackelford |
|---|---|
| Address | 2350 Mt Pleasant Rd, Hernando, Mississippi |
| Phone Number | 6624294448 |
| Fax Number | 6624295975 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1558499640 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2350 Mt Pleasant Rd |
|---|---|
| City | Hernando |
| State | Mississippi (MS) |
| Post Code | 386321909 |
| Phone Number | 6624294448 |
| Fax Number | 6624295975 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OD589-94300 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 87049 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Raymond Calvin Shackelford by the Centers for Medicare & Medicaid Services?
The Raymond Calvin Shackelford has been assigned the NPI (National Provider Identifier) 1558499640. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Raymond Calvin Shackelford's physical address?
The Raymond Calvin Shackelford is physically located at 2350 Mt Pleasant Rd, in the city of Hernando, MS, with the postal code 386321909.
What is Raymond Calvin Shackelford's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Raymond Calvin Shackelford is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Raymond Calvin Shackelford receive its 1558499640 assignment from the Centers for Medicare & Medicaid Services?
The Raymond Calvin Shackelford was assigned its 1558499640 by the Centers for Medicare & Medicaid Services on 2007-03-01.
When was the information pertaining to Raymond Calvin Shackelford most recently updated or revised?
The details related to Raymond Calvin Shackelford, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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