Dr. Kelley Melissa Basinger, O.D.
Optometrist in Beavercreek, OH. Individual provider (NPI-1).
NPI number1376545905
StatusActive
Last updated in NPPESOct 17, 2012
Details
- NPI
- 1376545905
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelley Melissa Basinger
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2005
- Last updated
- Oct 17, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4808 | OH | Yes |
Practice location
4235 Indian Ripple RdSte 100
Beavercreek, OH 45440-3247
Phone 937-427-2020 · Fax 937-429-1144
Mailing address
4235 Indian Ripple RdSte 100
Beavercreek, OH 45440-3247
Phone 937-427-2020 · Fax 937-429-1144
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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