Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JEANINE SHAKELFORD, LDO
ActiveMS. JEANINE SHAKELFORD, LDO is a Optician, Dispensing healthcare provider located in NICHOLASVILLE, Kentucky. NPI 1063148104 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · NICHOLASVILLE, KY
Registration Details
- NPI Number
- 1063148104
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 30, 2022 (3.9994698038668 yrs)
- Last Updated
- Jul 30, 2022
- License
-
109935 (KY)
Practice Information
- Address
-
1024 N MAIN STNICHOLASVILLE, KY, 403562311Browse KY providers · Browse ZIP 40356
- Phone
- 8598852314
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in NICHOLASVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| SHARON YVONNE TAYLOR | LDO | 1245968361 |
| GREGORY DAVIS | — | 1447086434 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.