Most Relevant Information
Provider Data
| NPI Number: | 1003063504 |
| Provider Name: | MELISSA MARIE BENNETT O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 5787 |
Most Important Dates
| Enumeration Date: | 08/26/2008 |
| Last Updated: | 07/12/2013 |
Provider Practice Location
17273 STATE ROUTE 104
CHILLICOTHE
OH
456019718
Practice Location Phone/Fax
| Phone: | 7407731141 |
| Fax: |
Provider Mailing Location
5662 PLATINUM DR
GROVE CITY
OH
431238271
Provider Mailing Phone/Fax
| Phone: | 7405791235 |
| Fax: |