Provider Demographics
NPI:1063767580
Name:BRIGHT, MELISSA D (OD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:D
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:D
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:11595 N MERIDIAN ST
Mailing Address - Street 2:SUITE 175
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-6947
Mailing Address - Country:US
Mailing Address - Phone:317-843-9300
Mailing Address - Fax:317-843-8309
Practice Address - Street 1:11595 N MERIDIAN ST
Practice Address - Street 2:SUITE 175
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032
Practice Address - Country:US
Practice Address - Phone:317-843-9300
Practice Address - Fax:317-843-8309
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003753B152W00000X
IN18003753A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
INM33472001Medicare PIN