Provider Demographics
NPI:1780881623
Name:DOW, MELISSA B (OD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:B
Last Name:DOW
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3252 ASPEN GROVE DRIVE
Mailing Address - Street 2:SUITE1
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4851
Mailing Address - Country:US
Mailing Address - Phone:615-771-7555
Mailing Address - Fax:615-771-7773
Practice Address - Street 1:3252 ASPEN GROVE DRIVE
Practice Address - Street 2:SUITE 1
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4851
Practice Address - Country:US
Practice Address - Phone:615-771-7555
Practice Address - Fax:615-771-7773
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNOD0000002770152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist