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Dr R C Shackelford Optometrist — NPI 1306008719, Hernando, MS | NPI Central

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NPI 1306008719

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Dr R C Shackelford Optometrist

NPI 1306008719 · Optometrist · Hernando, MS

Provider details

NPI number: 1306008719
Entity type: Organization
Primary specialty: OptometristEye and Vision Services Providers
Organization subpart: No
Authorized official: Raymond Shackelford, Owner(662) 429-4448

Specialties & taxonomies

OptometristPrimary152W00000X
Eye and Vision Services Providers

Practice location

2350 Mount Pleasant Rd

Hernando, MS 38632-1909

Phone: (662) 429-4448

Fax: (662) 429-5975

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

8815 Millbranch Rd

Southaven, MS 38671-2312

Other names (DBA / former)

Doing business as: Shackelford Family Eyecare
Doing business as: Shackelford Family Eyecare

Registry dates

Enumerated: 2008-06-26
Last updated: 2026-05-05
Certified: 2026-05-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.