Provider Demographics
NPI:1801272174
Name:MORIN, MELISSA MARQUES (OD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MARQUES
Last Name:MORIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:PATRICIA
Other - Last Name:MARQUES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23 ROCKY HILL RD
Mailing Address - Street 2:
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-9796
Mailing Address - Country:US
Mailing Address - Phone:413-626-4971
Mailing Address - Fax:
Practice Address - Street 1:22 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2243
Practice Address - Country:US
Practice Address - Phone:413-549-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5114152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist