Melissa Bowman OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OH5375 Issued in OH

Legal business name

MELISSA BOWMAN OD INC

Practice address

11919 Montgomery Rd
Cincinnati, OH 45249

Phone

(513) 583-8970

Fax

(513) 583-9072

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Elaine Bowman, ODNPI 1790821791

Title

Optometrist President

Phone

(513) 254-8287

Specialties & licenses 2

Addresses

Other identifiers 11

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Elaine Bowman, OD

  • Optometrist
  • Cincinnati, OH
  • NPI 1790821791
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730225772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 PAXTON AVE",
            "address_2": "APT 836",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45209",
            "telephone_number": "513-254-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45249",
            "telephone_number": "513-583-8970",
            "fax_number": "513-583-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA BOWMAN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OPTOMETRIST PRESIDENT",
        "authorized_official_telephone_number": "513-254-8287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH5375",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1602DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "44484",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "23947",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "23949",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "44485",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "25952",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "44480",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS PIN",
            "identifier": "9984",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OH5375",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEN PIN",
            "identifier": "000000337477",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "23950",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "44487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Paul Melick, CDCA
• Jennifer Anne Melillo, SLP
• Shannon Melillo
• Katherine Melink, MD
• Melissa Bowman OD Inc
• Melissa L. Schroer Inc. (Delhi Family Care Associates)
• Meljonson Healthcare Services. LLC
• Lynn E Mellencamp, CN.10784-NP
• Catherine Mellman, LPN
• Michael W Mellon, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.