Provider Demographics
NPI:1588730709
Name:MEIKLE, SHARON (OD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:MEIKLE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 ANDOVER VIEW LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-7705
Mailing Address - Country:US
Mailing Address - Phone:865-535-0121
Mailing Address - Fax:865-357-5532
Practice Address - Street 1:141 MAIN STREET E
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830
Practice Address - Country:US
Practice Address - Phone:865-535-0121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2404152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4104587OtherBLUE CROSS BLUE SHIELD
TN4104587OtherBLUE CROSS BLUE SHIELD
TN103I411958Medicare PIN