Organization
MELISSA BOWMAN OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ELAINE BOWMAN OD (OPTOMETRIST PRESIDENT)
(513) 254-8287
Entity
Organization
Contact information
Practice address
11919 MONTGOMERY RD, CINCINNATI, OH 45249
(513) 583-8970
(513) 583-9072
Mailing address
3927 PAXTON AVE, APT 836, CINCINNATI, OH 45209
(513) 254-8287
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1602DT
KY
152W00000X
Optometrist
Primary
OH5375
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337477
ANTHEN PIN
—
01
—
23947
SPECTERA
—
01
—
23949
SPECTERA
—
01
—
23950
SPECTERA
—
01
—
25952
SPECTERA
—
01
—
44480
DAVIS VISION
—
01
—
44484
DAVIS VISION
—
01
—
44485
DAVIS VISION
—
01
—
44487
DAVIS VISION
—
01
—
9984
AVESIS PIN
—
01
—
OH5375
EYEMED
—
Enumeration date
01/29/2007
Last updated
08/22/2020
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