Organization Active NPI

K&R Optical Solutions Corporation

  • Clinical Laboratory Director (Non-physician)
  • Meridian, MS
National Provider Identifier
1083588990
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
Legal business name
K&R OPTICAL SOLUTIONS CORPORATION
Practice address
3304 8TH St
Meridian, MS 39301-4755
Phone
(601) 207-5085
NPI assigned
Oct 2, 2025
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
K&R OPTICAL SOLUTIONS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shana ThedfordNPI 1790289510
Title
Director
Phone
(601) 207-5085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician) 247ZC0005X Primary

Addresses

Primary practice location

3304 8TH St
Meridian, MS 39301-4755

Mailing address

3304 8TH St
Meridian, MS 39301-4755

Other identifiers 1

IdentifierTypeStateIssuer
005986512MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
KR Optical Solutions Corporation3 organizations share this tax ID, including this one
Part of
KR Optical Solutions Corporation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1083588990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 8TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 8TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014755",
            "telephone_number": "601-207-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&R OPTICAL SOLUTIONS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "K&R OPTICAL SOLUTIONS CORPORATION",
        "enumeration_date": "2025-10-02",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "THEDFORD",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-207-5085"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005986512",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.