Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANA THEDFORD, RO

Active Sole Proprietor

156FX1101X · MERIDIAN, MS

Registration Details

NPI Number: 1790289510
Provider Type: Individual
Gender: Female
NPI Issued: Mar 19, 2018 (8.0946728255788 yrs)
Last Updated: Jan 14, 2026
Sole Proprietor: Yes

Practice Information

Address: 3304 8TH ST

MERIDIAN, MS, 393014755
Browse MS providers · Browse ZIP 39301
Phone: 8442257160
Fax: 3863437195
Primary Specialty: 156FX1101X
156FX1101X
Additional Specialty: 156FX1101X
Additional Specialty: Contact Lens Optician
Additional Specialty: Ocularist
Additional Specialty: 156FX1101X

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.