Organization
MELANIE J. BALLARD, O.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE JOAN BALLARD O.D. (MANAGING MEMBER)
(614) 266-4381
Entity
Organization
Contact information
Practice address
113 COMMERCE PARK DR STE A, WESTERVILLE, OH 43082-6055
(614) 882-9131
(614) 882-9133
Mailing address
221 CRYSTAL PETAL DR, DELAWARE, OH 43015-5071
(614) 266-4381
(614) 882-9133
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5781
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093191
—
OH
Enumeration date
05/07/2013
Last updated
02/25/2014
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