DR R C SHACKELFORD OPTOMETRIST
NPI 1306008719
Optometrist in Hernando, MS

Q: What is Dr R C Shackelford Optometrist's NPI number?

The NPI number for Dr R C Shackelford Optometrist is 1306008719. It was assigned to this organization in the NPPES registry on June 26, 2008. The provider is doing business as Shackelford Family Eyecare.

Q: What is Dr R C Shackelford Optometrist's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since June 26, 2008

2350 MOUNT PLEASANT RD, HERNANDO, MS 38632(662) 429-4448(662) 429-5975 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2026, Jun 12, 2019 (2 updates tracked since 2019).

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About Dr R C Shackelford Optometrist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR R C SHACKELFORD OPTOMETRIST (NPI 1306008719), doing business as Shackelford Family Eyecare, is a healthcare organization registered as an optometrist in Hernando, Mississippi and active in the NPI registry since June 2008. The organization lists Raymond Calvin Shackelford, Owner, as its authorized official.

NPPES Registry Identity

NPI1306008719

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDR R C SHACKELFORD OPTOMETRIST

Location Address2350 MOUNT PLEASANT RDHernando, MS 38632-1909

Mailing Address8815 Millbranch RdSouthaven, MS 38671-2312 · (662) 393-4161

Phone(662) 429-4448

Fax(662) 429-5975

Organization SubpartNo

Authorized OfficialRaymond Calvin ShackelfordOwner · (662) 429-4448

Enumeration DateJune 26, 2008

Last NPPES UpdateMay 5, 20262 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1306008719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2350 MOUNT PLEASANT RD, Hernando, MS 38632

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Other Names 1

Doing Business AsShackelford Family Eyecare

Other Identifiers 1

Medicaid00087049MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr R C Shackelford Optometrist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr R C Shackelford Optometrist, which bills Medicare for the services this clinician delivers.

Clinician (1)

Raymond Shackelford, OD

Optometry

NPI 1558499640

2350 MT PLEASANT RD
Hernando, MS 38632

(662) 429-4448

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr R C Shackelford Optometrist's NPI number?

The NPI number for Dr R C Shackelford Optometrist is 1306008719. It was assigned to this organization in the NPPES registry on June 26, 2008. The provider is doing business as Shackelford Family Eyecare.

Where is Dr R C Shackelford Optometrist located?

Dr R C Shackelford Optometrist is located at 2350 Mount Pleasant Rd, Hernando, MS 38632. The listed phone number is (662) 429-4448.

What is Dr R C Shackelford Optometrist's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dr R C Shackelford Optometrist enrolled in Medicare?

Yes. Dr R C Shackelford Optometrist is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr R C Shackelford Optometrist?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Dr R C Shackelford Optometrist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dr R C Shackelford Optometrist accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Dr R C Shackelford Optometrist as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr R C Shackelford Optometrist was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.