| NPI | 1306008719 |
|---|---|
| Doing Business As | SHACKELFORD FAMILY EYECARE |
| Entity Type | Organization |
| Authorized Contact | RAYMOND CALVIN SHACKELFORD Owner 662-429-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2019-06-12 |