Dr R C Shackelford Optometrist
NPI 1306008719 · Optometrist · Hernando, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dr R C Shackelford Optometrist is a Optometrist organization in Hernando, MS (NPI 1306008719).
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
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
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
Frequently asked questions
- What is Dr R C Shackelford Optometrist's NPI number?
- Dr R C Shackelford Optometrist's National Provider Identifier (NPI) is 1306008719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr R C Shackelford Optometrist?
- Dr R C Shackelford Optometrist is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Dr R C Shackelford Optometrist located?
- Dr R C Shackelford Optometrist's practice location on file with NPPES is 2350 Mount Pleasant Rd, Hernando, MS 38632-1909.
- What is Dr R C Shackelford Optometrist's phone number?
- The practice phone number listed in the NPPES registry for Dr R C Shackelford Optometrist is (662) 429-4448.
- Does Dr R C Shackelford Optometrist accept Medicare?
- Dr R C Shackelford Optometrist is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dr R C Shackelford Optometrist?
- The authorized official listed on Dr R C Shackelford Optometrist's NPPES record is Raymond Shackelford, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr R C Shackelford Optometrist's NPI active?
- Yes — Dr R C Shackelford Optometrist's NPI (1306008719) is active in the NPPES registry as of the last update on 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.