Organization
DR R C SHACKELFORD OPTOMETRIST
Active
Other names
SHACKELFORD FAMILY EYECARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND CALVIN SHACKELFORD OD (OWNER)
(662) 429-4448
Entity
Organization
Contact information
Practice address
2350 MOUNT PLEASANT RD, HERNANDO, MS 38632-1909
(662) 429-4448
(662) 429-5975
Mailing address
8815 MILLBRANCH RD, SOUTHAVEN, MS 38671-2312
(662) 393-4161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087049
—
MS
Enumeration date
06/26/2008
Last updated
05/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us