Shana Thedford
Optician Contact Lens Ophthalmic Assistant
3126 8th St. Magnolia Plaza Suite A.
Meridian
, Mississippi 39301-3930
Shana Thedford
Optician Contact Lens Ophthalmic Assistant
3126 8th St. Magnolia Plaza Suite A.
Meridian
, Mississippi 39301-3930
(601) 483-7983
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About
Features
Specialties
- Contact Lens
- Ophthalmic Assistant
- Optician
Languages spoken
- English
Location
First Address
- Shana Thedford
- 3220 Lauderdale Rd
- Lauderdale, MS
- Zip : 39335-9639
- Fax : (601) 483-7983
- Phone : (601) 616-1210
Second Address
- Shana Thedford
- 3126 8th St. Magnolia Plaza Suite A.
- Meridian, MS
- Zip : 39301-3930
- Phone : (601) 207-5085
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 156FC0800X | Contact Lens | MS | |
| N | 156FX1101X | Ophthalmic Assistant | MS | |
| Y | 156FX1800X | Optician | ||
| N | 156FX1800X | Optician | MS |
National Provider Identifier
| NPI | 1790289510 |
|---|---|
| Provider Name | Shana Thedford |
| First Address | Lauderdale, MS 39335-9639 |
| Second Address | Meridian, MS 39301-3930 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/03/2018 |
| Last Update Date | 13/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 05986512 | (05) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.