Provider Demographics
NPI:1770692279
Name:BLEMKER, MEGAN LEE (OD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:LEE
Last Name:BLEMKER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:BLEMKER
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:7277 CHARLOTTE PIKE
Mailing Address - Street 2:UNIT 101
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5036
Mailing Address - Country:US
Mailing Address - Phone:812-890-0385
Mailing Address - Fax:812-890-0385
Practice Address - Street 1:7277 CHARLOTTE PIKE
Practice Address - Street 2:UNIT 101
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-5036
Practice Address - Country:US
Practice Address - Phone:812-890-0385
Practice Address - Fax:812-890-0385
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2592152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist