Melanie Jo Lirong Thares, OD | |
628 Roosevelt Rd Ste 101, Saint Cloud, MN 56301-4867 | |
(320) 774-3789 | |
(320) 774-3483 |
Full Name | Melanie Jo Lirong Thares |
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Gender | Female |
Speciality | Optometrist |
Location | 628 Roosevelt Rd Ste 101, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518601442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3866 (Minnesota) | Primary |
Provider Name | Eye Associates Of Central Minnesota Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790228294 PECOS PAC ID: 5597046987 Enrollment ID: O20161222001267 |
Mailing Address | Practice Location Address |
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Melanie Jo Lirong Thares, OD 628 Roosevelt Rd Ste 101, Saint Cloud, MN 56301-4867 Ph: (320) 774-3789 | Melanie Jo Lirong Thares, OD 628 Roosevelt Rd Ste 101, Saint Cloud, MN 56301-4867 Ph: (320) 774-3789 |
Dr. Gordon Eugene Dramen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 380 33rd Ave S, Saint Cloud, MN 56301 Phone: 320-259-5880 Fax: 320-259-6084 | |
Dr. Douglas Gross, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 207 County Road 120, Saint Cloud, MN 56303 Phone: 320-202-5985 Fax: 320-202-7890 | |
Dr. Sean Dempsey, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-255-6480 | |
Michael David Sufka, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Northway Dr, Ste 120, Saint Cloud, MN 56303 Phone: 320-253-2441 Fax: 320-253-2446 | |
Bailey & Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3112 20th St S, Saint Cloud, MN 56301 Phone: 320-255-9207 | |
John G Hasbrouck, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1545 Northway Dr, Suite 120, Saint Cloud, MN 56303 Phone: 320-253-2441 Fax: 320-253-2446 | |
Matthew Anderson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Northway Dr Ste 120, Saint Cloud, MN 56303 Phone: 320-253-2441 |