Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicole Roddy Maisonville, OD

Individual provider Optometrist · NPI 1215550439

Dr. Nicole Roddy Maisonville, OD is an Optometrist in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2020.

Licensed in
TN
In the registry since
2020
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2100 Clinch Ave Ste 400
Knoxville, TN 37916-2293
Phone: (865) 521-7998
Fax: (865) 521-7405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3610 (TN)

Record details

NPI number1215550439
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 21, 2020
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022

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