Organization
SHAFFER'S OPTICAL EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHERRY JEAN SHAFFER (JR. VICE PRESIDENT)
(601) 425-9099
Entity
Organization
Contact information
Practice address
5205 HIGHWAY 11 N, ELLISVILLE, MS 39437-5001
(601) 425-9099
(601) 425-9018
Mailing address
5205 HIGHWAY 11 N, ELLISVILLE, MS 39437-5001
(601) 425-9099
(601) 425-9018
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880183
—
MS
Enumeration date
11/14/2006
Last updated
09/11/2025
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