Most Relevant Information
Provider Data
| NPI Number: | 1003034380 |
| Provider Name: | ROBERT W SHAPPLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 542 |
Most Important Dates
| Enumeration Date: | 04/23/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
804 CHILDS ST
CORINTH
MS
388344933
Practice Location Phone/Fax
| Phone: | 6622866171 |
| Fax: | 6622873937 |
Provider Mailing Location
804 CHILDS ST
CORINTH
MS
388344933
Provider Mailing Phone/Fax
| Phone: | 6622866171 |
| Fax: | 6622873937 |