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NPI Code Detail

MEDICARE: K&R OPTICAL SOLUTIONS CORPORATION

MEDICARE: K&R OPTICAL SOLUTIONS CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247ZC0005XClinical Laboratory Director (Non-physician)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083588990
Entity Type Code : Organization
Provider Name (Legal Business Name) : K&R OPTICAL SOLUTIONS CORPORATION
Provider Business Mailing Address
First Line : 3304 8TH ST
Second Line :
City : MERIDIAN
State : MS
Zip : 39301-4755
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3304 8TH ST
Second Line :
City : MERIDIAN
State : MS
Zip : 39301-4755
Country : US
Telephone Number : 601-207-5085
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : SHANA THEDFORD
Credential :
Telephone Number : 601-207-5085
Provider Enumeration Date : 10/02/2025
Last Update Date : 10/02/2025

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1548054349 — K&R OPTICAL SOLUTIONS CORPORATION
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1235131079 — CRAIG A. CAMASTA DPM
Practice Location Address:
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Directions to “K&R OPTICAL SOLUTIONS CORPORATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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