Shana Thedford, RO

Primary specialty

Ophthalmic AssistantTaxonomy code 156FX1101X

Practice address

3304 8TH St
Meridian, MS 39301-4755

Phone

(844) 225-7160

Fax

(386) 343-7195

NPI assigned

Mar 19, 2018

Last updated

Jan 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bestfriend Medical Supply, LLC

  dba SugaFoot Diabetic Footwear

  • Durable Medical Equipment & Medical Supplies
  • Meridian, MS
  • NPI 1770210122
  Authorized official Same address or phone
• K&R Optical Solutions Corporation

  • Clinical Laboratory Director (Non-physician)
  • Meridian, MS
  • NPI 1083588990
  Authorized official Same address or phone
• K&R Optical Solutions Corporation

  dba The Optical Solution

  • Eyewear Supplier
  • Meridian, MS
  • NPI 1306478359

  Contact Lens

  NPD (past) Authorized official
• Stand Upright Equipment

  • Durable Medical Equipment & Medical Supplies
  • Meridian, MS
  • NPI 1891628467
  Authorized official Same address or phone
• Sugafoot Medical Equipment

  dba SugaFoot Medical Footwear

  • Durable Medical Equipment & Medical Supplies
  • Meridian, MS
  • NPI 1548054349
  Authorized official Same address or phone

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1790289510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 LAUDERDALE RD",
            "city": "LAUDERDALE",
            "state": "MS",
            "postal_code": "393359639",
            "telephone_number": "601-616-1210",
            "fax_number": "601-483-7983"
        },
        {
            "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": "844-225-7160",
            "fax_number": "386-343-7195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 Lauderdale Rd",
            "address_purpose": "LOCATION",
            "city": "Lauderdale",
            "state": "MS",
            "postal_code": "393359639",
            "country_code": "US",
            "telephone_number": "601-616-1210",
            "fax_number": "601-483-7983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEDFORD",
        "first_name": "SHANA",
        "credential": "RO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1101X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic Assistant",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "MS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05986512",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED CHILDREN'S VISION SCREENER",
            "identifier": "16999022",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Counselor's Cabin PLLC
• The Free Clinic of Meridian, Inc.
• The Medical Store, Inc.
• The Pharmacy of Meridian
• Jasmine Thedford
• Theta Home Health Care Inc (Rotech)
• Anthony L Thomas, M.D.
• Holly Marie Thomas, CRNA
• Jackson Scott Thomas, MD
• Katina Thomas, LCSW

• Technician/Technologist in Meridian, MS
• Providers in Meridian, MS by specialty
• Technician/Technologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.