Provider Demographics
NPI:1770471526
Name:HARLIN, MEG T (OD)
Entity type:Individual
Prefix:
First Name:MEG
Middle Name:T
Last Name:HARLIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 296
Mailing Address - Street 2:
Mailing Address - City:FERGUSON
Mailing Address - State:KY
Mailing Address - Zip Code:42533-0296
Mailing Address - Country:US
Mailing Address - Phone:606-772-7360
Mailing Address - Fax:
Practice Address - Street 1:127 FOOTHILLS AVE STE 3
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:KY
Practice Address - Zip Code:42602-1037
Practice Address - Country:US
Practice Address - Phone:606-387-5612
Practice Address - Fax:606-387-6602
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2446DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist