Organization
SHAPPLEY EYE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W SHAPPLEY (OWNER-MANAGER)
(662) 286-6171
Entity
Organization
Contact information
Practice address
804 CHILDS ST, CORINTH, MS 38834-4933
(662) 286-6171
(662) 287-3937
Mailing address
804 CHILDS ST, CORINTH, MS 38834-4933
(662) 286-6171
(662) 287-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
542
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015503
—
MS
01
—
168727
EYEMED
MS
01
—
18147
SPECTERA
MS
01
—
410044588
RAILROAD MEDICARE
MS
01
—
425233202A
BLUE CROSS BLUE SHIELD
MS
01
—
57711
DAVIS VISION
MS
Enumeration date
04/23/2007
Last updated
02/11/2009
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