Most Relevant Information
Provider Data
| NPI Number: | 1003079518 |
| Provider Name: | SHEMEEKA L MCFADDEN O.D |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 2120 |
Most Important Dates
| Enumeration Date: | 07/03/2008 |
| Last Updated: | 12/05/2020 |
Provider Practice Location
5330B SOUTH BLVD
CHARLOTTE
NC
282174116
Practice Location Phone/Fax
| Phone: | 7045259802 |
| Fax: | 7045232862 |
Provider Mailing Location
1950 OLD GALLOWS RD STE 520
VIENNA
VA
221823970
Provider Mailing Phone/Fax
| Phone: | 7038478899 |
| Fax: | 5712236780 |