Provider Demographics
NPI:1861440349
Name:STERLING, MELISSA JO (OD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:JO
Last Name:STERLING
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:JO
Other - Last Name:WILKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1950 OLD GALLOWS RD
Mailing Address - Street 2:520
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3990
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:703-991-0514
Practice Address - Street 1:499 GREENVILLE BLVD SE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-6734
Practice Address - Country:US
Practice Address - Phone:252-756-9404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1883152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC093N5OtherBCBS PROV #
NCP00258720OtherRR MEDICARE INDIVIDUAL #
NC89093N5Medicaid
NCP00258720OtherRR MEDICARE INDIVIDUAL #
NC89093N5Medicaid
NC2472966AMedicare PIN