Provider Demographics
NPI:1285889311
Name:COLE, MATTHEW MELTON (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:MELTON
Last Name:COLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1124 E WEISGARBER RD
Mailing Address - Street 2:STE 104
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2686
Mailing Address - Country:US
Mailing Address - Phone:865-584-0905
Mailing Address - Fax:865-584-3892
Practice Address - Street 1:12744 KINGSTON PIKE
Practice Address - Street 2:STE 108
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934
Practice Address - Country:US
Practice Address - Phone:658-584-0905
Practice Address - Fax:865-392-5533
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
KYTP334207W00000X
KY4196207W00000X
TNMD49890207W00000X
TN49890207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN49890OtherMEDICAL LICENSE
TNFC3802065OtherDEA
TN49890OtherMEDICAL LICENSE