NPI 1790289510

Shana Thedford, RO

Practitioner Ophthalmic Assistant Meridian, MS

Practice location

Address: 3304 8th St, Meridian, MS 39301-4755
Phone: (844) 225-7160
Fax: (386) 343-7195
Mailing address: 3220 Lauderdale Rd, Lauderdale, MS 39335-9639

Registered specialties (6)

Ophthalmic Assistant Primary

Eye and Vision Services Providers Taxonomy 156FX1101X

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Optician

Eye and Vision Services Providers Taxonomy 156FX1800X

Contact Lens Technician/Technologist

Eye and Vision Services Providers Taxonomy 156FC0800X

Ocularist

Eye and Vision Services Providers Taxonomy 156FX1700X

Ophthalmic Assistant

Eye and Vision Services Providers Taxonomy 156FX1101X

Health & Wellness Coach

Other Service Providers Taxonomy 171400000X

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Registry record

NPI: 1790289510
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2018
Record last updated: 14 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.