Provider Demographics
NPI:1467478511
Name:SHEAR, MELISSA BETH (OD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:BETH
Last Name:SHEAR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:9153 REISTERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4503
Mailing Address - Country:US
Mailing Address - Phone:410-363-1777
Mailing Address - Fax:410-581-0152
Practice Address - Street 1:9153 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4503
Practice Address - Country:US
Practice Address - Phone:410-363-1777
Practice Address - Fax:410-581-0152
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDTA1796152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
V03012Medicare UPIN