Basinger, Kelley Melissa

Basinger, Kelley Melissa is an individual health care provider with primary practice located at 4235 Indian Ripple Rd Ste 100, Beavercreek OH 45440-3247. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Basinger, Kelley Melissa can be contacted via phone (937) 427-2020.

Contact Information

Primary practice address
4235 Indian Ripple Rd Ste 100 Beavercreek OH 45440-3247
Phone: (937) 427-2020
Fax: (937) 429-1144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4808 Ohio

Profile Details

NPI number 1376545905
LBN Legal business name Basinger, Kelley Melissa
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Oct 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376545905 NPPES
Ohio MEDICAID 2184274

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