Individual
MELISSA J BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD OPTOMETRIST
Contact information
Practice address
33 RIDDELL ST, GREENFIELD, MA 01301-2025
(413) 774-7016
(413) 773-7596
Mailing address
33 RIDDELL ST, GREENFIELD, MA 01301-2025
(413) 774-7016
(413) 773-7596
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3657
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0369276
—
MA
01
—
W17011
BCBS
MA
Enumeration date
02/15/2007
Last updated
01/14/2011
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