Kelley Melissa Basinger, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4808 Issued in OH

Practice address

4235 Indian Ripple Rd
Ste 100
Beavercreek, OH 45440-3247

Phone

(937) 427-2020

Fax

(937) 429-1144

NPI assigned

Aug 12, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1376545905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 INDIAN RIPPLE RD",
            "address_2": "STE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403247",
            "telephone_number": "937-427-2020",
            "fax_number": "937-429-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 INDIAN RIPPLE RD",
            "address_2": "STE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403247",
            "telephone_number": "937-427-2020",
            "fax_number": "937-429-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASINGER",
        "first_name": "KELLEY",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2184274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Morgan Barlow, OTR/L
• Michelle Renee Barlow, LMT
• Genoveva Florina Bartlett
• Jeremy L Barton, LMT
• Robin Bashaw-Cordell, M.S., PCC-S, CTS
• Saurabh Basundhra, M.D.
• Cynthia Ann Batie, PCC-S
• James Batin
• Sarah Beth Bauman, PHARMD
• Michele Ann Baxter, RN

• Optometrist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.