Provider Demographics
NPI:1003079518
Name:MCFADDEN, SHEMEEKA L (OD)
Entity type:Individual
Prefix:DR
First Name:SHEMEEKA
Middle Name:L
Last Name:MCFADDEN
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:5330B SOUTH BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-4116
Practice Address - Country:US
Practice Address - Phone:704-525-9802
Practice Address - Fax:704-523-2862
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2120152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist