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Dr R C Shackelford Optometrist

Optometrist in Hernando, MS · enumerated 2008 · authorized official Raymond Shackelford, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306008719

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Registry record

Entity type Organization (Type 2)
Legal business name Dr R C Shackelford Optometrist
Other name <Unavail>
Practice address 2350 Mount Pleasant Rd, Hernando, MS, 38632
Phone (662) 429-4448
Fax (662) 429-5975
Enumeration date Jun 26, 2008
Last updated in NPPES May 5, 2026

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary

Authorized official

Name Raymond Shackelford
Title Owner
Phone (662) 429-4448

Other identifiers

Identifier Type State Issuer
00087049 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-05-05. Verify at npiregistry.cms.hhs.gov.
Where is Dr R C Shackelford Optometrist located?
The practice location on file with NPPES is in Hernando, MS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-05.