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NPI 1790289510

IndividualActive

Shana Thedford, RO

NPI 1790289510 · Ophthalmic Assistant · Meridian, MS

Provider details

NPI number: 1790289510
Entity type: Individual
Primary specialty: Ophthalmic AssistantEye and Vision Services Providers
Credential: RO
Sex: Female
Sole proprietor: Yes

Practice location

3304 8th St

Meridian, MS 39301-4755

Phone: (844) 225-7160

Fax: (386) 343-7195

More MS providers

Mailing address

3220 Lauderdale Rd

Lauderdale, MS 39335-9639

Registry dates

Enumerated: 2018-03-19
Last updated: 2026-01-14

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

Shana Thedford, RO — NPI 1790289510, Meridian, MS | NPI Central