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Shana Thedford, RO
Voluntary or Charitable Agency in Meridian, Mississippi
NPI 1790289510

Shana Thedford is a Voluntary or Charitable Agency based in Lauderdale, MS. Shana Thedford practices in Meridian, MS and has the professional credentials of RO. The NPI Number for Shana Thedford is 1790289510 and holds a License No. (Mississippi).

The current practice location address for Shana Thedford is 3304 8Th St, Meridian, MS and can be reached out via phone at 844-225-7160 and via fax at 386-343-7195.

Location: 3304 8Th St, Meridian, MS, 39335-9639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790289510
Provider Name
Shana Thedford
Credential
RO
Provider Entity Type
Individual
Gender
Female
Address
3304 8Th St, Meridian, MS, 39335-9639
Phone Number
844-225-7160
Fax Number
386-343-7195
Provider Enumeration Date
03/19/2018
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
05986512 05 MS
16999022 01 NC CERTIFIED CHILDREN'S VISION SCREENER
institution
Provider Business Practice Location Address Details
Address
3304 8Th St
City
Meridian
State
Mississippi
Zip
39301-4755
Phone Number
844-225-7160
Fax Number
386-343-7195
person
Provider Business Mailing Address Details
Address
3304 8Th St
City
Meridian
State
Mississippi
Zip
39301-4755
Phone Number
844-225-7160
Fax Number
386-343-7195
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens
Taxonomy
156FC0800X
License No.
(Mississippi)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ophthalmic Assistant
Taxonomy
156FX1101X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
156FX1700X
License No.
(Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
251V00000X
License No.
(Mississippi)
Definition
Definition to come...
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