person
Shana Thedford, RO
Ophthalmic Assistant in Meridian, Mississippi
NPI 1790289510

Shana Thedford is a Ophthalmic Assistant based in Lauderdale, MS and is specialized in Ophthalmic Assistant. 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 3126 8Th St., Meridian, MS and can be reached out via phone at 601-207-5085. You can also correspond with Shana Thedford through the mailing address at 3220 LAUDERDALE RD, LAUDERDALE, MS - 39335-9639 (mailing address contact number: 601-616-1210).

Location: 3126 8Th St., Meridian, MS, 39335-9639
person
Provider Profile Details
NPI Number
1790289510
Provider Name
Shana Thedford
Credential
RO
Provider Entity Type
Individual
Gender
Female
Address
3126 8Th St., Meridian, MS, 39335-9639
Phone Number
601-207-5085
Fax Number
Provider Enumeration Date
03/19/2018
Last Update Date
03/10/2024
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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
3126 8Th St.
City
State
Zip
39301-3930
Phone Number
601-207-5085
Fax Number
person
Provider Business Mailing Address Details
Address
3220 Lauderdale Rd
City
State
Zip
39335-9639
Phone Number
601-616-1210
Fax Number
601-483-7983
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens
Taxonomy
License No.
()
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
License No.
(Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
(Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
(Mississippi)
Definition
Definition to come...
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